WomenHeart Board of Directors New Member Application Form

Welcome to the WomenHeart Board of Directors Application. Thank you for your interest in becoming a part of a well-respected organization making a difference in the lives of women living with and at risk of heart disease. WomenHeart is poised for growth as the public awareness of heart disease as the number one killer of women continues to grow. While we are seeking strong candidates across all fields of expertise; we are particularly interested in candidates who have significant experience in the following areas:

Fundraising & Philanthropy
Non-Profit Boards
Corporate partnerships
Technology & Digital Health
Diversity & Inclusion
Legal Services

This form includes a detailed list of qualifications that will enable us to assemble a dynamic and forward-leaning board that can take the organization to the next level. We are grateful for your interest to contribute to the next phase in the evolution of WomenHeart. For your application to be complete, please fill out both pages. Application deadline is August 15, 2020.

*Required Fields

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* 1. Please complete all fields below.

First Name

Last Name

City and State

Email Address

Phone Number

Employer

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* 2. Upload your resume

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 3. Upload your cover letter that includes answers to the following questions:

What is your vision for the next 20 years of WomenHeart? How can you contribute to making that vision a reality?

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 4. Please attach a professional letter of recommendation:

PDF, DOC, DOCX file types only.

Choose File

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* 5. Additional links

LinkedIn profile UR

Nominee's personal website or blog URL

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* 6. Is there anything else you'd like us to know?

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* 7. Area of expertise, Professional Skills (Please select all that apply.)

Fundraising

Capital campaigns

Corporate partnerships

Marketing/public relations

Advertising

National boards

Nonprofit governance

Entrepreneurship/Business Development

Legal

Finance

Human Resources

Patient Advocacy

Research

Management

Banking and investments

Accounting and control

Strategic or long-range planning

Health care delivery

Government relations/advocacy/ health public policy

Cardiovascular disease

Administration

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* 8. Additional Attributes (Please select all that apply.)

Fundraising experience

Has time and willingness to contribute expertise

Willingness to engage my network to support the organization’s mission/programs

Interest in making connections with prospective donors or corporate sponsors

Other (please specify)

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* 9. Community Contacts and Influence (Please select all that apply.)

Major Corporations (Non- Pharmaceutical)

Major Corporations (Pharmaceutical)

Foundations

Government Funding

Minority Communities

Media

Health Care Communities

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* 10. What is your link to WomenHeart and/or Heart Disease?

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* 11. Age

18-24

25-34

35-44

45-54

55-64

65+

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* 12. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White / Caucasian

Prefer not to answer

Other (please specify)

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* 13. Gender

Male

Female

Other

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* 14. Before your application is submitted, please complete the checklist below.

I have indicated on the attached checklist my expertise and personal qualities fit with Board's priorities to meet our current challenges.

Attached is my resume or CV, and recommendation letter.

I have discussed this nomination with a WomenHeart Board member and I have expressed interest in exploring whether there is a fit with WomenHeart.