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Board of Directors Application
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Board of Directors Interest Form
Thank you for your interest in joining the YWCA Board of Directors. Interest forms are accepted year-round, but the Board will send invitations to join in Spring of each year.
Step
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Personal Information
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Suffix
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
*
Please submit the best email address to reach you
Enter Email
Confirm Email
Professional Information
Name of Employer
*
Please list the name of your current employer. If you are retired or a homemaker please list that in this field.
Title
Please list your employment title.
Employment Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Area of Employment (please select the best answer)
*
Arts
Business
Pre-K - 12 Education
Higher Education (College, University, Trade School)
Healthcare/Health Services/Fitness
Human Services
Government (Local, State, Federal)
Law
Faith/Religion/Spirituality
Science
Consultant
Board Service Questions
Have you previously worked with the YWCA of Central Virginia?
*
Please select "yes" if you have been a former Board of Directors member; a current/former community volunteer; a current/former client; or a former staff member.
YES
NO
If yes, please select how you were involved with our organization. You may select more than one option.
*
Former Board of Directors Member
Current/Former Committee Member
Current/Former Frannie's House Steering Committee Member
DVPP Volunteer
SARP Volunteer
Town Center Volunteer
Church Street Bridal Volunteer
Current/Former Town Center Housing Resident
Current/Former DVPP or SARP Client
Former Staff Member
Please discuss your service to other philanthropic organizations:
*
Have you been involved in any previous fund-raisers for non-profit groups?
*
YES
NO
If yes, for which organization and in what capacity?
Why are you interested in serving on the YWCA Board of Directors?
*
Which committees are you interested in serving/chairing?
*
Please select all that may apply.
Internal Affairs (This committee focuses on all internal and operational issues including those related to finance, human resources and facilities)
External Affairs (This committee focuses on all external issues including fundraising, public relations, and marketing)
Governance (This committee is responsible for the health and functioning of the board. It recruits new members, conducts orientation, produces board materials, and evaluates the performance of the boards itself.)
Nominating Committee (This committee is a subcommittee to Governance, but is responsible for board recruitment and retention)
What strengths do you feel you could bring to an existing YWCA Committee and/or the Board of Directors?
*
Advocacy
Board Governance
Community Connections
Human Resources
Finance
Event Management
Fundraising
Marketing
Policy Development
Strategic Planning
Other strengths listed below
Please list any other strengths here.
Are you willing to commit your time and energy for a three-year term on the Board of Directors? Why or why not?
*
The YWCA of Central Virginia is committed to eliminating racism and empowering women. How does this mission relate with you? Please include both your professional and personal connections to the entire mission.
*
How does this position fit your interests and aspirations?
*
Resume
Please feel free to upload your resume for the board to consider.
Accepted file types: pdf, doc, Max. file size: 2 MB.
Demographic Information
Age
*
Please select the bracket that includes your current age:
18-30
31-64
65+
Please select the race/ethnicity that you most closely identify with:
*
You may select more than one box.
Asian/Pacific Islander
African
African-American
Caribbean Islander
Hispanic/Latinx
Native American/American Indian
Bi-racial
Other as noted below
Other:
Are you a citizen of the United States
*
YES
NO
Are you authorized to work in the U.S.?
*
YES
NO
Have you ever been convicted of a felony?
*
YES
NO
If yes, please explain
Are you willing to complete a background check?
*
YES
NO
References
Please list three professional references
Name
First
Last
Phone
Email
Name
First
Last
Phone
Email
Name
First
Last
Phone
Email
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to Board membership, I understand that false or misleading information in my application or interview may result in my release.
Certification
*
Please type your full name as an electronic signature agreeing to the above disclaimer.
Date
MM slash DD slash YYYY
