Project LEAD Application

Please read all questions and ensure a sufficient amount of time before beginning application. You will need to complete all questions in one sitting and the application is fairly long. Thank you.

* Required Fields.

Title
* First name * Last name
Address City
State Zip
* Home Phone Work Phone ext
Fax Phone Other Phone
* E-mail Address Alternate e-mail

The following information will be used solely to determine program demographics:

Birth Date (MM/DD/YYYY):     Ethnic Group:

Gender: Female    Male    Transgender    Other    Unknown

How did you find out about Project LEAD?

Do you have prior experience serving on a nonprofit board? Yes    No

List all current volunteer and community involvement activities (include organization, role and length of service):

List any previous volunteer and community involvement activities (include organization, role and length of service):

Educational Background (please list most current school/institution first):

School City, State Year Degree Major

Occupational history (please share last three positions starting with current employment):

Employer City, State Position Years
Current employer      
Previous employer      

Additional training or life experiences:

Please note any special needs:

Do you prefer to volunteer near home or work?  Please check where you want to volunteer.

East King County  East/Rural King County  Greater Seattle  No Location Listed  North King County  Pierce County  Snohomish County  South King County  South/Rural King County  Other:

What community issues are important to you? 

1st:

2nd:

3rd:

4th:

5th:

What skills and experience would you like to use as a board/committee member? Please select no more than five (5) skills and rate your proficiency using the following scale:

1= Interest only, no special training or expertise.
2= Serious student, accomplished amateur.
3= At least 3 years on-the-job experience or college/technical school training PLUS 1 year experience.
4= At least 5 years on-the-job experience or related college or professional degree PLUS 2 years experience.

1st:  

2nd:  

3rd:  

4th:  

5th:  

Best time(s) to reach you for a brief (15-minute) phone interview

Best phone number (from this application):

Best time:

Please note any specific information on when best to contact you:

Please be concise with your answers to the following questions.

1. Why do you want to volunteer at the board level with a non-profit organization?

2. Briefly describe your most significant community involvement experience, including why it was significant.

3. Please review "Are You Ready to be a Board Member?"  Briefly discuss your ability to commit to the responsibilities outlined for individual board members.

Please list the name and phone number of two individuals who, if contacted, can speak to your commitment, community/volunteer involvement, and experience in working with a team.
(Please note it may not be necessary to contact the individuals listed).

References  
First Name Last Name Phone number

I would like to be considered for participation in Project LEAD. By submitting this application, I certify that all information contained herein is true and correct to the best of my knowledge. If I am accepted, I am able to make the commitment to attend all sessions.  I also understand that upon completion of the training, I am expected to utilize the knowledge gained and actively volunteer with an organization in the community.
I agree

Print a copy of your application for your records now, before you submit.
You will not have an opportunity to print after submitting.