Board Application Form.Thank you for your interest in serving on the Cross Connection Board of Directors. Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Email * Preferred Contact Method * Phone Text Email Why are you interested in serving on the Cross Connection Board of Directors? * Please describe any previous experience you have with nonprofit organizations, including any board service. * What skills, expertise, or professional background do you possess that you believe would be beneficial to our organization? * What do you hope to accomplish as a board member of * Areas of Expertise (Please check all that apply): * Fundraising Financial Management Strategic Planning Marketing/Communications Legal Human Resources Program Development Advocacy Community Engagement Technology UMC Are you able to commit to attending regular board meetings, usually held four times per year? * Yes No Are you able to participate in additional committee meetings and organizational events? * Yes No Please describe any potential conflicts that may affect your availability or participation. Is there any other information you would like to share with us regarding your interest in serving on the board? Demographic Information (Optional) Providing this information is optional and will not affect the outcome of your application. It helps us ensure diversity and representation on our board. Gender Male Female Non-Binary Age Under 18 19-34 35-50 51-65 65 and older Race/Ethnicity (Please check all that apply): African American/Black Asian/Pacific Islander Caucasian/White Hispanic/Latino Native American/Indian Other Sexual Orientaion Straight Gay Lesbian Bisexual Queer Prefer not to answer Thank you!
