Board Application | Mari's Place for the Arts

Board of Directors Candidate Application

Name

E-mail

Phone

Address

City

State

Zip

If you are currently employed, please provide the following information:

Business or Organization Name

Your Title
If you are retired from here, show "retired" after you last position title

Business Address

City

State

Zip

Daytime Phone

E-mail

Type of business or organization

Primary service(s) and area/population served

Please list boards and committees that you serve on, or have served on (business, civic, community, political, professional, recreational, religious, social):

Organization - 1

Role/Title

Dates of Service

Organization - 2

Role/Title

Dates of Service

If you checked other, please describe

Describe why you would like to join our Board of Directors

What would you like to achieve for yourself out of your participation on this Board? (e.g. what types of experiences, skill development, interests to cultivate for you, etc?)

If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways to match your skills and interests?

Each of our volunteers, instructors, and Board members are required to review and agree to be bound by the following:

Confidentiality Agreement

Code of Conduct

You may review these by clicking on the name. After you have reviewed them and are ready to agree, please complete the selection below.

I agree to the above Codes and Agreements

Agree