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Board of Directors Application Form
Thank you for your interest in joining The Lighthouse, Inc. Board! Use this form to provide useful information about yourself, to ensure the best match between you and The Lighthouse to consider you for our Board of Directors. The following information will be shared.
ABOUT YOU
Your Name:
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Home Address:
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Home Phone/Cell Number:
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EMPLOYMENT
Place of Employment:
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Position:
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Employment Address:
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Business Phone:
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Business Email:
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JOINING THE LIGHTHOUSE
Briefly describe why you would like to join The Lighthouse Board of Directors:
Your current organizational affiliations (names of the organization and your role(s):
Which of your skills would you like to utilize on the Board? Check those that apply:
Board development
Strategic planning
Staffing / HR
Program development
Financial management
Fundraising
Evaluation
Community networking
Training
Marketing
Volunteer management
Facilities management
Other skill(s) of yours that you would like to utilize?
What would you like to get for yourself out of your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.?
If you join The Lighthouse Board, you agree that you can provide at least 2-4 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict-of-interest in participating on the Board.
Yes
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