Application for Board of Directors and Committee Members Question Title * 1. Contact Information Name Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. Current Occupation: OK Question Title * 3. Which Sector do you represent currently? Private Business: Technology Private Business: Manufacturing Private Business: Healthcare Private Business: Financial & Insurance Private Business: Hospitality & Retail Private Business: Construction Municipal Government State Government Secondary Education Post Secondary Education Organized Labor Non-Profit OK Question Title * 4. How did you learn about CWEALF? OK Question Title * 5. Describe your current relationship to CWEALF: OK Question Title * 6. In what ways are you interested in contributing to CWEALF? Check all that apply Board Member Committee Member OK Question Title * 7. What committee work interests you? Governance Finance Development/Fundraising Public Policy OK Question Title * 8. Why are you interested in becoming a Board Member or Committee Member? OK Question Title * 9. How do you feel CWEALF would benefit from your involvement on a Committee or serving as a Board member? OK Question Title * 10. What resources could you provide as a Board member? (select all that apply) Money to give Access to money Access to other resources (foundations, corporate support) Availability for active participation (solicitation visits, grant writing) OK Question Title * 11. What community connections do you have? (select all that apply) Architects Developers Religious organizations Corporate Education Media Political Philanthropy Small business Social services Professional associations Local Officials State Officials Federal Officials Corporate Philanthropy Private Philanthropy Other (please specify) OK Question Title * 12. What are key qualities you bring to the organization? (select all that apply) Leadership skills Entrepreneur Willingness to work Personal connection with the organization's mission Ability to motivate others Positive attitude OK Question Title * 13. What do you consider your areas of expertise? (select all that apply) Administration/Management Data Analysis Economic Development Entrepeneurship Financial Management: Accounting Financial Management: Investments Fundraising Government Law Construction International Affairs Marketing and public relations Human resources Strategic planning Physical plant (architect, engineer) Real Estate Representation of clients Training Technology OK Question Title * 14. Please list boards and committees that you serve on, or have served on. Include the name of the organization, your role/title, and dates of service. Board/Committee 1 (most recent) Board/Committee 2 Board/Committee 3 Board/Committee 4 OK Question Title * 15. What is your gender? Male Female Other OK Question Title * 16. CWEALF is committed to diversity and inclusion. We strive to create a Board of Directors and Committees that reflect the diversity of our state. Please check all that apply to you. African American/Black Asian/Pacific Islander Caucasian/White Hispanic/Latino Native American/Indian Multiracial LGBTQIA Person with a Disability Veteran Other (please specify) OK Question Title * 17. What is your geographic location? Greater Hartford Greater New Haven Greater Bridgeport Fairfield County Northeast CT Southeast CT OK Question Title * 18. Please tell us anything else you'd like to share. OK Question Title * 19. Please upload a current Resume/CV DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload a current Resume/CV OK SUBMIT