Board of Directors Application

Candidate Information

First Name

Middle Name

input NA if none

Last Name

Maiden/Alias

input NA if none

Employer

Who referred you to our agency?

Name of the United Way Agency that referred you.

Previous Volunteer Experience

Contact Information

Email

Phone Number

Physical Address

Street Address

City

State

Zip Code

Mailing address is different from residential address

Mailing Address

Address

City

State

Zip Code

Applicant Questionnaire

Skills, experience, and interests (Please check all that apply)

Administration	Management
Finance	Fundraising
Special Events	Marketing
Public Relations	Strategic Planning
Training	Youth Advocacy
Volunteerism	Grant Writing
Outreach	Education
Human Resources	Community Engagement
Law Enforcement/Criminal Justice	Other

Please describe any additional relevant skills or experience not mentioned above.

Have you served on or currently serve on any other Boards and Committees? (business, civic, community, fraternal, political, recreational, religious, social)?

YesNo

Organization Name

Role/Title

Dates of Service

What to you hope to gain from this experience?

Why are you interested in Serving on the Big Brothers Big Sisters Board of Directors?

How do you feel Big Brothers Big Sisters would benefit from your involvement on the board?

Why are youth mentoring programs important to you and or/communities?

How do you feel Big Brothers Big Sisters would benefit from your involvement on the board?

Is there anything else you think would be of interest or would you like to share?"

Board Meetings are held at 11:45 on the 3rd Thursday of every month. Will you be able to make the meetings?

YesNo

Are you willing to give time, energy, and resources to support the mission of Big Brothers Big Sisters of Lubbock? Board Members stay connected to the organization through meeting attendance, committee work, special events, email, and other agency communication. Do you have the time and resources to be an active member of the Board?

YesNo

Contact Information