Your Name:

Email Address:

Phone Number:

City

State

Employer

Job Title and Description

Please list Boards or Service Organizations you serve on or have served

If you are currently serving on another nonprofit Board of Directors, please list the organization and describe your role and commitment

Describe yourself to the organization. Include any hobbies, interests, volunteer work, professional affiliations, and anything else you would like the organization to know.

How do you feel IWH would benefit from your involvement on the Board?

Skills, experience and interests (Check all that apply)
Administration / ManagementAdvocacy / Nonprofit Experience / Community Service LeadershipFinance / AccountingFundraising / Special EventsHealthcareInformation TechnologyLegalMarketing / CommunicationsPersonnel / Human ResourcesPolicy DevelopmentProgram Planning and EvaluationStrategic PlanningOther

Indicate the committees on which you would be interested in serving: (Check all that apply)
Board Development and Strategic PlanningFacilities and Physical PlantFinanceFundraising and Community EventsMarketing and CommunicationsPrograms and Activities (for shelter residents)

Additional Information