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ICCC Board of Director Application
Inter-County Community Council's Mission:
As a Community Action Agency, we build communities to support people in poverty with resources and opportunities.
1.
I am applying to represent the following county
East Polk County
Red Lake County
Clearwater County
Pennington County
At-Large (representing all counties)
2.
I am applying as:
A representative of the Income Eligible group (I am receiving, have received or am eligible for Community Action Services)
An Elected Official
A representative of a Special Interest group (Please list who your nominating group will be)
3.
Contact Information
Name
Home Address
Mailing Address
City/Town
Zip Code
E-mail Address
Cell Phone
Other Phone
4.
Briefly describe your background, including relevant education, work experience and volunteer involvement.
5.
What motivates you to serve on a nonprofit board, and why are you interested in Inter-County Community Council's Board?
6.
What skills, expertise, or perspectives do you bring that would benefit the board and Inter-County Community Council?
7.
Can you commit to attending board meetings regularly and actively participate at meetings? The meetings are held on the 4th Monday every other month at 5:30p.m. at the Oklee office. Meeting months are: January, March, May, July, September and November.
Yes
No
Please share any notes
8.
Are you aware of any potential conflicts of interest that could arise from your involvement with Inter-County Community Council, such as a personal or professional relationships with staff, vendors or other board members?
Yes
No
Please share any potential conflicts
9.
How do you prioritize diversity, equity, and inclusion in your personal and professional life, and how would you advocate for these values within the organization?
10.
While serving on the Board you will have responsibilities that include oversight of transparency and accountability. Have you served on a non-profit board in this capacity before? If yes, please list.
11.
Do you have connections or networks that could benefit the organization, such as potential partners, organizations, volunteers or strategic partners?
12.
What is your mission and/or vision for Inter-County Community Council's future, and how do you see yourself contributing to achieving that vision as a board member?
13.
A state statute requires us to disclose if a Board member has been convicted of a financial felony crime in the last 10 years. Have you been convicted of a financial felony in the last ten years?
Yes
No
14.
Is there anything else you would like to share?
