Girls For A Change Board Member Application

Thank you for your interest in joining the Girls For A Change Board of Directors! Please complete this form in its entirety to help ensure the best match between you and Girls For A Change as we consider future candidates for our Board.

Personal Information

Name(Required)
Address(Required)
If comfortable, please identify your racial, ethnic, and/or cultural background(s):
GFAC uses this voluntary information to gauge its effectiveness in recruiting a diverse group of candidates.
Gender
GFAC uses this voluntary information to gauge its effectiveness in recruiting a diverse group of candidates.
Twitter, Instagram, Personal Website, Business Website, Facebook, LinkedIn
Max. file size: 128 MB.

Employment Information

MM slash DD slash YYYY
Are you self-employed?(Required)

Experience

Questionnaire

List the names of the organization and your role(s) on each line.
Which of your skills would you like to utilize on the Board?
Check all that apply.
E.g., what types of experiences, skill development, interests to cultivate, etc.?
If you join the Board, you agree that you can provide at least 2-4 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.(Required)
If you are not selected to join the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?(Required)

Reference 1 (Required)

Reference 1: Name(Required)

Reference 2 (Required)

Reference 2: Name(Required)

Signature

Please sign this form to acknowledge that the information provided within this form is true and correct
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.