Project Blueprint Applicant Registration Question Title * 1. Personal Contact Information Name Home Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 2. Profile Age Gender Ethnicity/Race Question Title * 3. How did you hear about Project Blueprint? Question Title * 4. Education Background High School Graduate Some College Bachelors Degree Masters or Advanced Degree Professional Certifications Question Title * 5. Employment Present Employer Number of Years Job Title Business Address City State Zipcode Business Phone Business Email Question Title * 6. Preferred email adress Personal Business Question Title * 7. Skills & Experience No Experience Moderate Experience Considerable Experience Finance/Accounting Finance/Accounting No Experience Finance/Accounting Moderate Experience Finance/Accounting Considerable Experience Legal Legal No Experience Legal Moderate Experience Legal Considerable Experience Marketing/Communications Marketing/Communications No Experience Marketing/Communications Moderate Experience Marketing/Communications Considerable Experience Public Relations Public Relations No Experience Public Relations Moderate Experience Public Relations Considerable Experience Fund Development Fund Development No Experience Fund Development Moderate Experience Fund Development Considerable Experience Human Resources Human Resources No Experience Human Resources Moderate Experience Human Resources Considerable Experience IT/Technology IT/Technology No Experience IT/Technology Moderate Experience IT/Technology Considerable Experience Strategic Planning Strategic Planning No Experience Strategic Planning Moderate Experience Strategic Planning Considerable Experience Managemement Managemement No Experience Managemement Moderate Experience Managemement Considerable Experience Question Title * 8. Do you have any experience serving on a Nonprofit Board of Directors? Yes No Question Title * 9. Describe your volunteer service Question Title * 10. What motivates you to volunteer? Question Title * 11. Why do you want to serve on the Board of Directors for a nonprofit organization? Question Title * 12. Statement of CommitmentI appreciate the opportunity to be considered for membership in Project Blueprint's Inaugural Class. I am prepared to make the time and service commitments required by the program. Yes No I am committed to attend each session. I am committed to attend each session. Yes I am committed to attend each session. No I intend to volunteer in a leadership role in my community. I intend to volunteer in a leadership role in my community. Yes I intend to volunteer in a leadership role in my community. No Question Title * 13. United Way of Northern Utah's goal is for our local businesses and corporations to sponsor their employee to participate in Project Blueprint. We have scholarship funding available for participants who are not able to obtain financial support from their employers. Please check here if you need a scholarship. Yes, I need a scholarship. No, I do not need a scholarship. I am unsure at this time. I need support from United Way to approach my employer about sponsoring me. Question Title * 14. We will provide meals for each session. Please let us know if you have any special dietary requirements. Done
