Board Application Form

Your Name*

Address*

Home Phone Number

Cell Phone Number

Email*

Resume* (Must be .pdf, doc, docx)

Present Position/Occupation

Present Employer

Briefly describe previous and/or current jobs, volunteer experience, board involvements, and any other experiences or talents that may help you in your role as a member of the LSPC Board of Directors:

Why are you interested in becoming a Board Member of the LSPC?

Which of the following areas of expertise will you bring to board service?
Engagement in diverse communitiesMarketing/Public relationsBoard governance/Non-Profit management/Strategic planningFundraising/Resource developmentResearch/Program EvaluationFinanceLegal/Risk ManagementHuman resources
If you checked any of the above areas of expertise, please describe or add more:

Please Note:

• Board members should plan to attend all 10 scheduled Board meetings.
• Board members are or will become a paid member of the LSPC ($20 for individuals).
• Board members are encouraged to join one of the standing committees, task groups, and possibly the executive.
• References should be made available on request or on advisement of interview.