Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have expertise and/or experience in the areas of:

Fundraising

Accounting/Finance/Bookkeeping

Public Relations

Marketing/Communications

Special Event Planning

Administration

Operations/Management

Community Service

Outreach

Advocacy

Special Education

Supported/Customized Employment

Grant Writing

Policy Development

Nonprofit Governance

Program Development

Interacting with people with DD

Human Resources

Other

Board Service Time Committment *

Board service requires attending 1 board meeting per month and serving on 1 committee. The minimum required time commitment is 4-5 hours per month. Some roles may require more time.

Yes, I understand the time commitment and I am able to commit a minimum of 4-5 hours per month.

No, I am unable to commit to 4-5 hours of time per month.

Soliciting for membership and funding is an important requirement of board members. Are you willing and able to actively fundraise?

Yes

No

Once an applicant is approved as an active Board Member, (s)he is required to attend monthly board meetings, serve on a committee, participate in board education events and contribute to the sustainability of Mi Work Matters. Board terms are 3 years. By submitting this application you are verifying that all information provided is true. *

Yes