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The Board recruitment committee may use this worksheet to assess prospective nominations for the Board. It can also serve as a framework for an initial interview in prospecting new Board members. Name:
Address:
City, State, Zip:
Phone (home, work and cell):
Email:
Sex:
Race:
Residence: [ ] Urban [ ] Rural
Geographic Area:
Referred By:
Phone: Skills:
| Qualities:
| _____ Public Speaking
_____ Fund Raising
_____ Community Volunteering
_____ Community Volunteering
_____ Strategic Planning
_____ Finance/Budgeting
_____ Public Relations
_____ Media/Marketing
_____ Lobbying/Advocacy
_____ Grant Writing
_____ Special Events
_____ Training
_____ Conflict Resolution
| _____ Team Player
_____ Motivated
_____ Knowledgeable about issue
_____ Board member experience
_____ Supports all preventive strategies
_____ Values diversity
_____ Visionary/creative
_____ Task oriented
_____ Committed to issue |
| Service on other Boards: | _________________________ | | Other information: | _________________________ | | Recommended for nomination | _________________________ | | Hold for future nominations | _________________________ | | Comments: | _________________________ | | _________________________
Board Prospector | _________________________
Date |
Source: Huberman, B., Advocates for Youth, 2009
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