board application

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help us help others

Board members are the heart of our organization. Please complete the form below, and let’s help our community together.

Board Member Candidate Application

Name(Required)

First Last

Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Date of Birth(Required)

Are you currently employed(Required)

Yes

No

Current Employment(Required)

Where do you currently work and what is your title there?

Years with Current Company(Required)

How many years have you been with your current employer?

Years in Oklahoma(Required)

How many years have you lived or worked in Oklahoma?

Why Willow?(Required)

Briefly describe why you are interested in serving on Willow Pregnancy Support’s Board:

Skills(Required)

Which of your skills would you like to utilize on the Board? Check those that apply

Board Development

Strategic Planning

Fundraising

Financial Management

Community Networking

Marketing

Other

Other(Required)

Describe your additional skills.

Further Benefits You Bring(Required)

Please list any board service, volunteer work, special training, professional membership, community activities, hobbies, special interests that may be useful to your board placement:

Candidate Questionnaire

If selected, how do you feel you could contribute to the success of Willow Pregnancy Support?(Required)

Are you willing to give time, energy, and resources (within your means) to support the mission of Willow Pregnancy Support?(Required)

Members stay connected to Willow Pregnancy Support through meeting attendance, committee work, events, e-mail, and other Willow communications. Do you have the time and resources to be an active Member of Willow Pregnancy Support’s Board?(Required)

What are your expectations from the management of Willow Pregnancy Support?(Required)

Anything else you would like us to know?(Required)

Signature(Required)

If accepted to the Board, you agree that you can provide at least 2 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict-of-interest in participating on the Board.

Todays Date(Required)

Name

This field is for validation purposes and should be left unchanged.

board application

help us help others

Board Member Candidate Application

Candidate Questionnaire

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