Board Member Application

Contact Information

Name

Address

Home Phone

Cell Phone

Work Phone

Employment

Work Title

Work Address

Management Experience

Professional Skills

Education

Current Interest and Involvement with Urban Vision

People you know through Urban Vision

Affiliations with other Non-Profit Organizations, Foundations, and Boards

How are you currently involved or been previously involved with Akron community organizations or initiatives?

How do you feel about fundraising in efforts to grow and develop our financial base?

Do you (or have you) live and/or work in North Hill or Elizabeth Park communities?

Do you feel you could commit to 3 board meetings, 3-5 committee meetings, and 1-2 social events a year?

Church Involvement

Skills, Expertise, Hobbies, Talents, and Spiritual Gifts

Why do you desire to be a Board member/committee member?

Please provide 3–5 references

Reference #1 Name

Reference #1 Email

Reference #2 Name

Reference #2 Email

Reference #3 Name

Reference #3 Email

Reference #4 Name

Reference #4 Email

Reference #5 Name

Reference #5 Email

Additional Comments

I agree with and support the Vision & Mission Statements and the Cultural Values of Urban Vision.