Prospective Board Member Application : Participate : Join The Movement : Project Pink'd

Board Type

Please indicate which board you are applying for:

Board of Directors
Executive Advisory Council (EAC)

Name: (Required)

Home Phone Number:

Cell Phone Number: (Required)

Email: (Required)

Employer: (Required)

What makes our mission meaningful to you? (Required)

What are some of your prior board/volunteer/philanthropic leadership experiences? (Required)

Please list your current organizational affiliations including name of the organization and role(s):

What skills, connections, resources, and expertise do you have to offer and are willing to use on behalf of the organization? (Required)

Which of your skills would you like to utilize on the Board/EAC. Check those that apply:

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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? (Required)

(Required)

Your Signature (Required)

Date: (Required)

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Prospective Board Member Questionnaire

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Physical Address

Mailing Address

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Prospective Board Member Questionnaire

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