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Request for Board Member Form

Click here for the print-friendly form.

 

Organization
Address
City
State
Zip
Phone
Fax
Email
Contact
Title

Type of agency:

Health

Recreation

Elderly Services

Civic

Education

Faith Based

Substance Abuse

Women's Issues

Mental Health

Cultural

Youth

Environment

Volunteerism

Other

Board Member Responsibilities:

Please check all that are appropriate:

Credentials Preferred:

Corporate Education Homemaker Student Retiree

Management

Trades

Union

Media

Accounting

Skills:

Marketing

Sales

Planning

Financial

Public Speaking

Geographic Preference (if any):

What kind of financial commitment do you expect of Board Members?

Who will contact Volunteer?

How soon will contact be made?

Board Meeting Schedule: Day(s) of Week

Time of Day:

Months:

January

February

March

April

May

June

July

August

September

October

November

December

 

 

 
 
 

Email the following information after you complete this form. This information enables us to make the most effective match for you.

  • Current agency/Organization brochure
  • Annual Report
  • Current Board List
  • Staff List with Job Description
  • Bylaws and/or Policies and Procedures
  • Any Other Pertinent Information

 
 
 

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phone: (203) 797-1154 | fax: (203) 797-1194
volunteers@volunteerdanbury.org

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