February 9, 2022 by crebarchek 111 Url Your Information Thank you for your interest in becoming a Board member at the Boys & Girls Club of Janesville. The following questions will help us learn a little more about you, and your fit with our team. The Boys & Girls Club of Janesville exists to inspire and enable all youth, especially those who need us most, to realize their full potential as productive, caring, and responsible citizens. Please know your comments will be kept confidential but will be used by our Board Development committee. If you are uncomfortable submitting any of your answers electronically or have any questions at all, please feel free to personally reach out to one of our committee members. Thanks for taking the time to answer these questions and helping us to ensure that Great Futures Start Here. Name: * Street Address: * State: * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming City: * Zip: * Employer: * Employer Street Address: * Employer State: * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Employer City: * Employer Zip: * Title / Position: * Work Phone: * Cell Phone: * Preferred Contact: * Home Business Preferred Email Address: * Source of Referral / Information: Special Skills: * Fundraising / Resource Development Personnel / Human Resources Finances Working with Youth Business Marketing / Public Relations Technology Legal Management Accounting Professional Background: * For-Profit Business Non-Profit Organization Government What do you know about the Boys & Girls Club? * Please give a description of your past work experience: * What's your current community involvement (Boards, volunteer work, community groups, etc.)? * What other affiliations, club memberships, etc. might you have (past or present)? * Do you have any past experience with the Boys & Girls Clubs? If so, please explain: * What education, field of study, or military experience might you have? * What committees are you interested in serving on? Please indicate a first, second, and third choice below. Resource Development / Marketing and Communications Committee assists with fund development, donor stewardship, annual campaigns and larger resource development efforts, donor recognition projects, and recommendations regarding communications and public relations. Diversity, Equity & Inclusion Committee provides guidance and consultation for establishing growth in the Corporation’s commitment to diversity, equity and inclusion efforts as an employer, service provider, and community member. Board Development Committee supports and ensures the recruitment, selection, orientation, accountability, on-going education of the Board, and Board member recognition. Finance/Legal and Insurance Committee reviews all financial affairs, legal matters, regulatory compliance, and insurance. Safety Committee reviews the Safety and Crisis Management Manual and ensures adherence to all safety measures required by the Corporation and BGCA. First Choice: * Resource Development / Marketing / Communications Diversity, Equity, & Inclusion Board Development Finance / Legal & Insurance Safety Second Choice: * Resource Development / Marketing / Communications Diversity, Equity, & Inclusion Board Development Finance / Legal & Insurance Safety Third Choice: * Resource Development / Marketing / Communications Diversity, Equity, & Inclusion Board Development Finance / Legal & Insurance Safety What events might you be interested in working on? * Golf Outing Fall Event (theme varies) Turkey Trot Pheasant Hunt Shamrock Run Are you able to attend meetings and donate time and resources to the Club? * Yes No Why are you interested in becoming a Board member of the Boys & Girls Club? * Any other information you would like to share? Finally, please provide the names and contact information for three references. At least one reference should be a professional contact. Reference Name: * Reference Phone Number: * Reference Email Address: * Reference Name: * Reference Phone Number: * Reference Email Address: * Reference Name: * Reference Phone Number: * Reference Email Address: *