Thank you for your interest in serving on the Board of Directors for Angel’s Helping Hands Nonprofit Organization. Board service is both a meaningful and rewarding opportunity, offering personal fulfillment as well as professional growth while making a lasting impact on the lives of the youth and families we serve. Before completing this application, we encourage you to carefully review the entire application along with the Board Member Responsibilities. Doing so will help you gain a clear understanding of the expectations, required skills, and time commitment associated with this leadership role. Upon completing the application in its entirety, please email your resume to [email protected]. All application materials will be kept confidential and securely maintained on file at the Angel’s Helping Hands office. Applications are reviewed by current board members and are used to identify and evaluate prospective board candidates. New members of the Board of Directors are elected by a majority vote of the sitting board.

Date: ______________________

Full name: ____________________________________________ Date of Birth: _________________

Home address: _____________________________________________________________________

Phone number: _____________________________________________________________________

Email address: ______________________________________________________________________

Last 4 of Social Security Number:

Date of Birth ___/___/___ Gender:  Male  Female

Current Driver’s License No.: State:

Ethnicity: ____African American ____Hispanic ____White ____Asian ____Other (please specify) ______________

Emergency Contact Name: Phone Number: Relationship:

Employment History

Please provide employment information for the past five years, with most recent position held

first.

1st

Employer:

Street Address:

City: State: Zip:

Supervisor’s Name: Title:

Phone:

Dates of Employment: to (month/year)

Position Held:

2nd

Employer:

Street Address:

City: State: Zip:

Supervisor’s Name: Title:

Phone:

Dates of Employment: to (month/year)

Position Held:

3rd

Employer:

Street Address:

City: State: Zip:

Supervisor’s Name: Title:

Phone:

Dates of Employment: to (month/year)

Position Held:

Personal References

Please list three people you would like to use as character references. Any information Angel’s Helping Hands Mentorship Program gathers from these references will be held confidential and will not be released to you, the applicant.

Name:

Phone:

Email:

Relationship:

How long known:

Name:

Phone:

Email:

Relationship:

How long known:

Name:

Phone:

Email:

Relationship:

How long known:

1. Briefly describe why you would like to join our Board of Directors?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

• Board development
• Strategic planning
• Staffing / HR
• Program development
• Financial management
• Fundraising
• Evaluation
• Community networking
• Training
• Marketing
• Volunteer management
• Facilities management
• Other (please explain): ____________________

3. What would you like to get for yourself out of your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. If selected, how do you feel you could contribute to the success of the Angel’s Helping Hands?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. What does leadership mean to you? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Are you willing to give time, energy, and resources to support the mission of Angel’s Helping Hands? □ Yes □ No

7. Members stay connected to Angel’s Helping Hands through meeting attendance, committee work, membership events, e-mail, and other communications. Do you have the time and resources to be an active Member of Angel’s Helping Hands? □ Yes □ No

8. Are you comfortable soliciting others for membership and funding? □ Yes □ No

9. Have you ever been arrested or convicted of a crime? If so, what were the circumstances?

10. Have you ever used illegal drugs? If so, what substances were used and how often?

11. Are you currently using any illegal drugs or controlled substances?

12. Do you drink alcoholic beverages? If so, how often?

13. Have you ever been convicted of DUI? If yes, when and what were the circumstances?

14. Do you use tobacco products? If so, how often?

15. Have you ever received treatment for alcohol or substance abuse? If yes, please explain.

16. Have you ever been treated or hospitalized for a mental disorder? If yes, please explain.

17. Have you ever been investigated or convicted of child abuse or neglect? If yes, please explain.

18. Have you ever been investigated or convicted of sexually abusing or molesting a youth 18 or younger? If yes, please explain.

As you consider this opportunity, please familiarize yourself with this list of general board member expectations. As a Board Member:

• I will interpret the organization’s work and values to the community and promote the organization.
• I will be 100% committed to the mission of the organization.
• I will attend 85% of scheduled monthly board meetings.
• I will attend 85% of activities/events throughout the year.
• I will contribute $500 annually or $125 every quarter.
• I will collaborate with other board members and suggest new ideas for the organization.
• I will participate in and take responsibility for making decisions on issues, policies, and other board matters.
• Serve a minimum of one (1) three-year term on the Board. Eligible to serve two (2) three-year terms if re-elected.

Signature: __________________________________________ Date: ___________________

If you are not selected as a member of 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?

• Yes
• No