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This is intended for the personal use of: ___________________________
(Name) ___________________________
(Term) Important information about the Board of Directors and the organization: Chief Executive Officer:__________________ Office Phone:________________
Officers of the Board: | President: | __________________ | Phone: | __________________ | | Vice-President: | __________________ | Phone: | __________________ | | Secretary: | __________________ | Phone: | __________________ | | Treasurer: | __________________ | Phone: | __________________ |
Regular Board Meetings Occur:_______________ Time:___________
My Committee Assignment(s) This Year: Committee
| Chairperson | Phone
| Meeting date/time
| | ___________________ | _____________ | ___________
| ______________ | | ___________________ | _____________ | ___________ | ______________ |
As a Board Member of the organization, I will (please check to indicate your agreement):
□ Participate and be involved in local councils in my area.
□ Lead in forming a local council, if none exists in my home county/city.
□ Meet with funding sources in my area.
□ Attend board meetings.
□ Attend the organization’s state conference.
□ Attend as many other organizational functions as possible.
□ Ensure the financial health of organization through personal contributions, encouraging others to contribute, relaying funding opportunities to staff, and visiting funding sources together with staff.
□ Participate in at least one board committee.
□ Come prepared for board meetings, having read the minutes of the previous meeting, the financial reports, and other board information.
Signed__________________________________ Date________________ | Service on other Boards: | _________________________ | | Other experience: | _________________________ | | Other information: | _________________________ | | Recommended for nomination | _________________________ | | Hold for future nominations | _________________________ | | Comments: | _________________________ | | _________________________
Board Prospector | _________________________
Date |
Source: Huberman, B., Advocates for Youth, 2009.
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