Frontline Wellness United Board of Directors Application Thursday, May 10, 2018 5:00 PM 17:00 Monday, May 28, 2018 10:59 AM 10:59 Google Calendar ICS Candidate Name * Candidate Name First Name Last Name Address * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address * Employment Information Company Name Current Position May Contact Yes No Description Employed Since Employed Since MM DD YYYY phone number Relevant Experience (work/volunteer) Company Name Position Held Job Duties from from MM DD YYYY to to MM DD YYYY Company Name Position Held Job Duties from from MM DD YYYY to to MM DD YYYY Company Name Position Held Job Duties from from MM DD YYYY to to MM DD 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 Yes No 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. Yes No Other Are you willing to respond to communication within 48 hrs or notify the Board's Secretary if temporarily unavailable? * Yes No 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? * Yes No Please email a brief bio (500 words or less) to firstname.lastname@example.org 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 * Date of Application MM DD YYYY Thank you!