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Charlotte Black Pride Application for Board Membership
1.
Name & Contact Information
Name
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Country
Email Address
Phone Number
2.
How do you identify? What are your pronouns?
*
3.
What CBP Board position are you applying for?
(Required.)
Senior Community Liaison
Community Outreach Director
4.
Please list any events that you have volunteered for with CBP. Please include the year you volunteered.
Event
Year
Event
Year
Event
Year
5.
Please list any board or committee positions that you hold or have held (business, civic, community, fratenal/sororal or social), the name of the organization and your dates of service.
Organization/Position/Dates of Service
Organization/Position/Dates of Service
Organization/Position/Dates of Service
Organization/Position/Dates of Service
Organization/Position/Dates of Service
Organization/Position/Dates of Service
6.
Education/Training/Certificates
College Degree(s)
Training
Certificate(s)
*
7.
What skills/experience do you have that will contribute to the position that you are interested in?
(Required.)
Community Service
Public Relations
Non-Profit Organizations
Program Evaluation
Personnel, HR
Finance/Accounting
Fundraising
Education/Instruction
Project Management
Event Planning
Grant Writing
Outreach/Advocacy
Public Relations/Communications
Administration/Management
Other (please specify)
8.
Why are you interested in serving on the Board of Directors for CBP?
*
9.
Please copy and paste your most recent resume in the box below for our review.
(Required.)