2023-24 Community Foundation of Grant County Application for Board Membership

Personal

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* 1. Contact Information

First and Last Name

Home Address

City/State/Zip

Home County

Note here if you live in Mill Township

How many years have you lived in Grant County?

Home Phone

Cell Phone

E-Mail you wish to use to received CoFo communications

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* 2. Why do you want to join the CoFo Board of Directors?

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* 3. Additional Information

DOB (Month and Day)

Gender

Spouse's Name, if applicable

Spouse's Occupation, if applicable

Spouse's Place of Business, if applicable

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* 4. Age Range

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* 5. How would you describe yourself?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

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* 6. Areas of Expertise:

Administration

Business

Entrepreneurship

Planning: Event Planning

Planning: Strategic or Long-term

Agriculture

Financial: Accounting

Financial: Management

Financial: Investing

Financial: Wellness

Legal

Audit

Human Resources

Investment

Marketing

Public Relations

Education

Donor Development

Facilities: Property Management or Maintenance

Facilities: Construction

Non-Profit Governance

Development: Economic

Development: Community

Development: Leadership

Development: Donor, Fundraising, or Advancement

Impact Investing: Program-related investments

Impact Investing: Mission-related investments

Food Insecurity

Early Childhood Education

Career Readiness and Workforce

Resource Centers

Other (please specify)

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* 7. Personal Style:

Catalyst for Change

Consensus Builder

Good Communicator

Mediator

Implementer/Gets Things Done

Strategist/Asks Great Questions

Visionary

Networker/Good at Connecting People Together

Collaborator/Successful at Working with Others, specifically Governmental Entities

Resolver/Handles Conflict Well

Other(s) (please specify)

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* 8. Organization Experience

Business

Government

Nonprofit

Other (please specify)

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* 9. Personality Tests/Results

If you've taken the following personality tests, please answer with the results of that test:

Myers-Briggs

Enneagram

DiSC

Birkman

StrengthsFinder

True Colors

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* 10. Committee Engagement (Mark all that interest you; typically one committee per person is assigned unless otherwise requested.)

Executive Committee (Leadership Role consideration)

Finance Committee

Compliance Committee

Economic Development Committee

Leadership Innovation Committee

Impact Investment Committee

Thriving Mill Township Board (appointed from the CoFo Board)

If serving on multiple committees is of interest to you, what are your preferences?