Board and Community Engagement Board and Community Engagement Volunteer Interest Form Contact Information Name * Name First First Last Last Name as it should appear in print, if different than above Address * Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip/Postal Zip/Postal Phone * Phone Type * Mobile Home Work Email * Email Type * Home Work Employment Current employer Your title Years with employer Type or field of your business, organization or agency Demographics Please check all that apply. Gender Female Male Transgender Prefer not to answer OtherOther Race/Ethnicity African American/Black American Indian/Alaskan Native Asian or Pacific Islander Hispanic/Latino Middle Eastern White/Caucasian Multiracial Prefer not to answer OtherOther Age Under 25 25-34 35-50 51-60 Over 60 Skills and Networking In which areas do you have a considerable amount of knowledge or connections that you could share with Senior Neighbors to build upon the success of our organization? Please check all that apply. Professional or Volunteer Expertise Accounting/Bookkeeping Fundraising - Events Administration Fundraising - Major Gifts Management Fundraising - Planned Giving Human Resources Finance/Investment Talent Acquisition Marketing/Sales Diversity, Equity & Inclusion Strategies Communications Volunteer Management Public Relations Insurance Web/Social Media Legal Computers/IT Risk Management Education/Instruction Government Relations Real Estate OtherOther Personal Connections Arts (Music, Theater, Art, etc.) Education - K-12 Corporate - large companies Education - Higher Ed. Corporate - small companies Education - Adult Ed. Faith-based Family Health Care LGBTQ+ Community Local/Neighborhood Empowerment Media Philanthropic/Foundations Political Professional - Industry Public Sector/Government Professional - Associations Social Network (friends, clubs) OtherOther Board or Committee Experience Experience on Boards or Committees including business, nonprofit, fraternal, political, recreational, religious, social, etc. Years of Board Experience Types of Board or Committee Experience Chaired a Board Chaired a Committee Served as Treasurer Participated in Fundraising Participated in Strategic Planning Recruited Board/Committee members Other ExperienceOther Experience Current and Former Involvement Organization Role Dates of Service plus1 Add minus1 Remove If you prefer, you can upload a resume here: Drag a file here or click to upload Choose File Maximum file size: 10MB If you are human, leave this field blank. Next (see a summary of your entries before submitting)
