Referral Form for Board of Directors and Board Development Committee

This referral form is designed for the purpose of submitting names of individuals as possible candidates for a position on the Board of Directors, Board Development Committee or a committee/task group.  It does not indicate this person will be nominated.

Please do not contact the individual you are referring -- that will be handled by a member of the Board Development Committee.
 

 

 

 

 

 

 

Referral being submitted by:

Please check the position(s) you feel this person would be best suited for (check all that apply):  

              Board of Directors          Board Development Committee
              Investment Task Group   Audit Committee

Name of Prospect:

Address:

City:    State:     Zip:

Home #:     Cell #:       Business #:    

Email Address:

Place of Employment:

Position:

Please check all areas that you feel best describe the individual:

Special Skills:  Fund Raising   Education/Youth Development    Finance/Accounting    Human Resources
Business     Law      Property      Public Relations/Marketing      Strategic Planning      Technology
Young Women/Girl Leadership      Other:

 Community Connections:  Corporate   Education    Media     Philanthropy   Small Business    
Social Services      Religious Organizations       Other:

Resources:  Able to Make a Personal Gift      Access to Individuals Who Can Contribute   
Access to Other Resources (Foundations, Corporate Support)