LVA FORM-Board Member Profile

LITERACY VOLUNTEERS OF AMERICA
Newark/Essex County

PROSPECTIVE BOARD MEMBER PROFILE

Please assist the Board and Nominating Committee by completing this form. The information will remain in the confidential files of the Board. Thank you for your cooperation.

HOME:

Name:
Address:
City:
State: ZIP Code: Home Phone:

BUSINESS:

Company Name:
Title:
Address:
City:
State: ZIP Code:
Business Phone:

PREVIOUS VOLUNTEER EXPERIENCE:

POSITIONS HELD:

Please check all areas in which you have experience, skills or knowledge:
Accounting Engineering
Program development Administration
Entrepreneurship Public Relations/Marketing
Advocacy Financial Management
Public Speaking Art
Fund Raising Publishing/Printing
Affirmative Action Government/Public Policy
Real estate Banking
Grant writing Recruitment
Budgeting Health
Service clubs Human Services
Insurance Special Education
Chamber of Commerce Investments
Strategic Planning Communications
Law Technology
Community relations Media
Training Consulting
Motivation Women issues
Cultural Diversity Parliamentary Process
Youth services Education
Insurance
Business _______________________
Social Services ________________________
Other________________________

Other Information:
1. May we submit your name for consideration as a candidate for membership on the Board of Directors of Literacy Volunteers of America, Newark and Essex County Affiliate? YES NO

If you answer no, please skip to question #3

2. If you were to join the Board, what area(s) of Board Activities are you most interested in?
Board Development Fund Raising
Board Leadership Program Development
Financial Management Public Relations
Other___________________________

3. If not sure, would you consider an interim appointment for a short duration?
YES NO

4. If unable to a Board appointment, would you be willing assist with other LVA activities?
YES NO

5. May the Board Development Committee call upon you for suggestions of other possible board candidates?
YES NO

6. Comments:

THANK YOU! A member of the Board Development Subcommittee for will contact you to discuss your Board Member Profile.

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