ABC Organization, Inc..

Board Application Form

Complete this form and return to the Board Development Committee by (date)

Name _________________________________________ Phone __________

Address _____________________________________________________________

Relevant community experience and/or employment (attach a resume if relevant):

Why are you interested in serving as a Board Director of ABC Organization, Inc.?

Area(s) of expertise/contributions you feel you can make to ABC, Inc. as a Board Director:

Other current volunteer commitments:

For Board Committee Use

____ Nominee has had a personal meeting with the Board Development Committee Chair, Board Chair, Organization Executive Director, or other Board Director. Date ______

____ Nominee reviewed by the Board Development Committee. Date ______

____ Nominee attended a board meeting. Date ______

____ Nominee interviewed by the board. Date ______

Action taken by the board:  

"There is an old African proverb that says if you want to go quickly, go alone, if you want to go far, go together. We have to go far, quickly, and that means we have to quickly find a way to change the world's consciousness about exactly what we are facing and how we have to work to solve it.” Al Gore  View Past Quotes

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Revised: February 3, 2012