Board Membership Application

Thank you for your interest in Reading Works.

Our Mission: to empower adults with the literacy and language skills they need to participate fully and effectively in work, civic life and community.

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. How did you learn about Reading Works?

website/internet

Facebook or Twitter

Center for Nonprofit Excellence

friend

Reading Works presentation or event

Other (please specify)

Question Title

4. Which of the following categories best describes your employment status?

Employed, working full-time

Employed, working part-time

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled, not able to work

Question Title

5. Where do you work -- or if retired, where did you work?

Question Title

6. What attracts you to volunteering for Reading Works?

Question Title

7. What will you bring to Reading Works?

Question Title

8. Have you served on a non-profit Board of Directors in the past?

Yes

If yes, what was the name of the nonprofit, the years of your involvement, and the duties you performed?

Question Title

9. Have you volunteered for another nonprofit agency in the past, other than Board Membership?

Yes

If yes, what was the name of the nonprofit, the years of your involvement, and the duties you performed?

Question Title

10. Estimate how many hours per month you could devote to Reading Works.

Question Title

11. Do you have expertise in these areas?

fundraising

event coordination

grant writing

public speaking

bookkeeping

accounting

marketing or public relations

legal/law

Other (please specify)

Question Title

12. Our Board meetings are held on the third Saturday every month from 9:00 to 11:30. Will you be able to attend?

Yes

Question Title

13. Do you have any other comments, questions, or concerns?

Question Title

14. 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@reading-works.org or mailed to Reading Works, 8005 Pennsylvania Circle NE, Suite C, Albuquerque, New Mexico 87110.