Board Membership Application Thank you for your interest in serving on our Board of Directors. Question Title * 1. What is your contact information? Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Preferred Phone Number Question Title * 2. What is your date of birth? Question Title * 3. What is your gender?' Female Male Other (specify) Question Title * 4. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Master's Degree Doctorate Degree Professional Degree like JD, DDS, MD Question Title * 5. Which of the following categories best describes your employment status? Student Employed Retired Disabled Other (please specify) Question Title * 6. If employed, where do you work? What is your position? Question Title * 7. If retired, where did you work? What was your position Question Title * 8. What attracts you to volunteering at Ethos Literacy? Question Title * 9. Tell us about your expectations. What do you hope to gain from serving on the Board? Question Title * 10. How do you feel Ethos Literacy would benefit from your involvement on the Board? Question Title * 11. Do you have expertise in these areas? fundraising event coordination grant writing public speaking accounting marketing or public relations legal/law graphic design strategic planning Other (please specify) Question Title * 12. Have you served on a non-profit Board of Directors in the past? Yes No If yes, what was the name of the nonprofit, the years of your involvement, and the duties you performed? Question Title * 13. Have you volunteered for another nonprofit agency in the past, other than Board Membership? Yes No If yes, what was the name of the nonprofit, the years of your involvement, and the duties you performed? Question Title * 14. Estimate how many hours per month you could devote to Board service? Question Title * 15. Our Board meetings are held on the third Saturday every month from 9:00 to 11:30. Will you be able to attend? Yes No Question Title * 16. Do you have any other comments, questions, or concerns? Question Title * 17. We require two written references addressing these questions: How do you know the Board applicant? What skills or talents will this person bring to serving on a nonprofit Board of Directors? Does this person follow through on tasks? Is there anything else you want to tell us? References can be emailed to president@ethosliteracy.org. 100% of survey complete. Done
