ACCP Board Nomination Application

Thank you for applying to join ACCP’s Board of Directors. This application requires three documents:

Completion of this survey – submit online
Your current bio – submit by email
Recent professional headshot (high resolution) – submit by email

Applications are due NO LATER THAN Wednesday, November 10, 2022. Submit bio and headshot (high res) via email to Maria Collins, Governance Chair at maria_collins@nyl.com, and Carolyn Berkowitz, ACCP CEO, at Carolyn@accp.org.

Question Title

* 1. Contact Information

Name

Company

Internal Title

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Experience

Question Title

* 2. Number of years with current company

Question Title

* 3. Number of years in CSR field

Question Title

* 4. Other Boards or committees on which you currently serve

Question Title

* 5. Please indicate any relevant functional expertise as defined as: 1) on-the-job responsibility (2+ yrs.), 2) functional leadership on a board or committee (2+ yrs), 3) post-secondary degree or 4) exposure to the function but not expertise. Check all that apply.

	Functional Leadership in Company	Functional Leadership on a Board Committee	Degree	Exposure but not Expertise	No Exposure
Finance-Budget/Accounting	Finance-Budget/Accounting Functional Leadership in Company	Finance-Budget/Accounting Functional Leadership on a Board Committee	Finance-Budget/Accounting Degree	Finance-Budget/Accounting Exposure but not Expertise	Finance-Budget/Accounting No Exposure
Marketing & Communications	Marketing & Communications Functional Leadership in Company	Marketing & Communications Functional Leadership on a Board Committee	Marketing & Communications Degree	Marketing & Communications Exposure but not Expertise	Marketing & Communications No Exposure
Technology Management	Technology Management Functional Leadership in Company	Technology Management Functional Leadership on a Board Committee	Technology Management Degree	Technology Management Exposure but not Expertise	Technology Management No Exposure
Audit & Risk Management	Audit & Risk Management Functional Leadership in Company	Audit & Risk Management Functional Leadership on a Board Committee	Audit & Risk Management Degree	Audit & Risk Management Exposure but not Expertise	Audit & Risk Management No Exposure
Fundraising	Fundraising Functional Leadership in Company	Fundraising Functional Leadership on a Board Committee	Fundraising Degree	Fundraising Exposure but not Expertise	Fundraising No Exposure
Legal	Legal Functional Leadership in Company	Legal Functional Leadership on a Board Committee	Legal Degree	Legal Exposure but not Expertise	Legal No Exposure
Governance	Governance Functional Leadership in Company	Governance Functional Leadership on a Board Committee	Governance Degree	Governance Exposure but not Expertise	Governance No Exposure
Diversity, Equity & Inclusion	Diversity, Equity & Inclusion Functional Leadership in Company	Diversity, Equity & Inclusion Functional Leadership on a Board Committee	Diversity, Equity & Inclusion Degree	Diversity, Equity & Inclusion Exposure but not Expertise	Diversity, Equity & Inclusion No Exposure
ESG	ESG Functional Leadership in Company	ESG Functional Leadership on a Board Committee	ESG Degree	ESG Exposure but not Expertise	ESG No Exposure
Sustainability	Sustainability Functional Leadership in Company	Sustainability Functional Leadership on a Board Committee	Sustainability Degree	Sustainability Exposure but not Expertise	Sustainability No Exposure

Question Title

* 6. In which geographical area is your professional market/network strongest?

Northeast

Mid-Atlantic

Southeast

Midwest

Northwest

Southwest

West

Demographic Diversity

As ACCP continues to live out our commitment to diversity, equity, and inclusion, we are asking prospective nominees for our Board of Directors to tell us more about themselves. Collecting demographic data enables us to better understand the backgrounds of potential leaders, prioritize the inclusion of underrepresented voices, and accurately reflect the composition of our Board of Directors in applications or surveys. Answering any or all of these questions is entirely optional. The information will only be shared in aggregate and individual details about an applicant or Board member will not be shared without explicit consent.

Question Title

* 7. Do you identify as a person of color?

Yes

Prefer not to say

Question Title

* 8. Ethnic Identity (select all that apply)

African American/Black

Asian, Hawaiian, Pacific Islander

Hispanic or Latin

Native American

White/Caucasian

Prefer not to answer

I self-identify as:

Question Title

* 9. Gender Identity

Male

Female

Intersex

Non-Binary

Prefer not to answer

I self identify as:

Question Title

* 10. Sexual orientation

Heterosexual or straight

LGBTQIA+

Prefer not to answer

Question Title

* 11. To what generation does your age correspond?

Boomers (1946-1964)

Gen X (1965-1980)

Millennial (1981-1996)

Gen Z (1997 and beyond)

Prefer not to answer

Question Title

* 12. Are you a veteran of the U.S. Armed Forces, Reserves, or National Guard?

Yes

Prefer not to answer

Question Title

* 13. Do you identify as having a disability as defined under the Americans with Disabilities Act?

Yes

Prefer not to answer

Personal Statement

Please provide a statement of ~200 words highlighting your relevant qualifications for the position. In your statement, please address the following:

ACCP Board Nomination Application

Question Title

* 1. Contact Information

Question Title

* 2. Number of years with current company

Question Title

* 3. Number of years in CSR field

Question Title

* 4. Other Boards or committees on which you currently serve

Question Title

* 5. Please indicate any relevant functional expertise as defined as: 1) on-the-job responsibility (2+ yrs.), 2) functional leadership on a board or committee (2+ yrs), 3) post-secondary degree or 4) exposure to the function but not expertise. Check all that apply.

Question Title

* 6. In which geographical area is your professional market/network strongest?

Question Title

* 7. Do you identify as a person of color?

Question Title

* 8. Ethnic Identity (select all that apply)

Question Title

* 9. Gender Identity

Question Title

* 10. Sexual orientation

Question Title

* 11. To what generation does your age correspond?

Question Title

* 12. Are you a veteran of the U.S. Armed Forces, Reserves, or National Guard?

Question Title

* 13. Do you identify as having a disability as defined under the Americans with Disabilities Act?

Question Title

* 14. How your career history and experiences would strengthen the ACCP Board of Directors:

Question Title

* 15. Your commitment to ACCP and why you are seeking a role on its Board:

Question Title

* 16. Any other information or perspective that would shed light on your candidacy: