Frontline Wellness United Board of Directors Application

Name: Frontline Wellness United Board of Directors Application — Frontline Wellness United
Start: 2018-05-10T17:00:00-0700
End: 2018-05-28T10:59:00-0700

Thursday, May 10, 2018 5:00 PM 17:00
Monday, May 28, 2018 10:59 AM 10:59

Google Calendar ICS

Candidate Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Employment Information

Company Name

Current Position

May Contact

Yes

Description

Employed Since

YYYY

phone number

Relevant Experience (work/volunteer)

Company Name

Position Held

Job Duties

from

YYYY

Company Name

Position Held

Job Duties

from

YYYY

Company Name

Position Held

Job Duties

from

YYYY

Questions

Please List Areas of Expertise

Grant Writing/ Community Organization/ Office Administration/ Legal/ Social Media/ Communication/Fundraising/ Education etc

Please List Boards or Committees that you serve on/have served on

What is your current schedule like?

other obligations/ best times of day or week

Approximatly how many hours a week can you dedicate to Frontline Wellness Board Member duties ?

Why are you interested in serving as a board member for Frontline Wellness United?

How do you feel Frontline Wellness United would benefit from your involvement on the board?

What types of causes/groups do you love to work with? Why?

Please list any other information you feel important for consideration of your application

Are you aware of any information about yourself, which might reflect unfavorably on your reputation, morals, character or ability as a board member?

If yes please explain below

If yes please explain

Are you willing and able to attend board meetings?

Mandatory meetings will be held every other week at a TBD date and time. Date and time will reflect all board members' schedule needs, to the best of our ability. Meetings will be mandatory twice a month, the remaining two will be optional meetings.

Other

Are you willing to respond to communication within 48 hrs or notify the Board's Secretary if temporarily unavailable?

other

Please list any upcoming periods of time in which you might be unavailable to actively serve on the board

Are you willling to uphold the responsibilities assigned to you?

Please email a brief bio (500 words or less) to frontlinewellness@protonmail.com

Emailed bio?

Yes

I will be sending it within the next 24-48hrs

Thank you for your application. Please remember to vote!

Signature

type first and last name to sign

Date of Application

YYYY