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
Preferred Pronoun
* First name * Last name
Address City
State Zip
* Primary Phone Work Phone ext
Fax Phone Other Phone
* E-mail Address Alternate e-mail

 

Demographic Data:

The following data is optional and used to compile a demographic profile of our class participants. It is very important to United Way that we reflect the rich diversity of the community we serve.

Birth Date (MM/DD/YYYY):    

I identify my Race/Ethnicity as:

I identify my gender as:

I identify my sexual orientation as:

 

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:


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 "10 responsibilities for you on a board of directors".  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 understand that as part of my learning, I will be required to fundraise $200 during the program. 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.