Board of Directors Application for Worcester Youth & Family

Board of Directors Application

First Name(Required)

Last Name(Required)

Home Address(Required)

City(Required)

State(Required)

Zip(Required)

Phone(Required)

Email(Required)

Occupation(Required)

Work Address(Required)

City(Required)

State(Required)

Zip(Required)

Work Phone(Required)

Fax

Education/Training:(Required)

Availability to Serve

Could you regularly attend monthly Board meetings?(Required)

How many hours a month, in addition to board meetings, could you serve this organization?

Conflicts

In the event no vacancies exist on the Board of Directors, would you be willing to serve on a committee?(Required)

Would you be available to participate in special events?(Required)

Would you attend an orientation/training session for new board members?(Required)

Views on our Organization

What is your interest in this organization?(Required)

What would you like to gain from your experience with WYFCS?(Required)

Have you had personal experience with WYFCS or similar services?(Required)

If yes, would you be willing to share your experience?

Interests/Skills

Please indicate your Expertise (experience/education/skills) and/or Interests (willing to participate). Please also include any specific information that might be helpful (details, specialities, etc.).

Accounting

Comments

Financial

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Legal

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Business Development

Comments

Technology

Comments

Fundraising

Comments

Marketing

Comments

Public Relations

Comments

Public Speaking

Comments

Public Policy

Comments

Secretarial/Clerical

Comments

Human Resources

Comments

Education

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Child Development

Comments

Arts/Music

Comments

Health/Welfare

Comments

Additional Information

Other skills, hobbies or major interests:

Board memberships (Current and Past):

Other volunteer experience:

Other comments:

This field is for validation purposes and should be left unchanged.