Board Fellows Volunteer Application

Thank you for your interest in the Board Fellows Program. As a Board Fellow, you must be able to perform the necessary responsibilities and commit 5- ! hours a month for a full year. Please note that you must be a premium "paid# $et %mpact member in order to participate. $ot sure of your status& 'mail us and we(ll check. Please complete and submit this form, along with a resume, to phillyboardfellows)gmail.com. *our $ame+ 'mail+ Phone number+ ,ob title - .ompany/0rgani1ation+ 2o you foresee any career changes that will limit your ability to participate& *es/$o 3hy do you want to be a Board Fellow& 3hat do you hope to gain from the e4perience&

3hat special skills and abilities do you hope to contribute to the nonprofit board and to the 3hat special skills and abilities do you hope to contribute to the nonprofit board and to the Board Fellows program "i.e. strategic planning, marketing strategy, financial analysis, etc.#&

%f applicable, please gi5e a brief description of any pre5ious/current 5olunteer or Board e4perience "including organi1ation, position, and dates of in5ol5ement#.

3hat fields most interest you& Please indicate your highest preference with a , your second choice with a 6, and so on. Place an 7 by any area that you will not accept a placement in. 83e will make e5ery effort to match you with an organi1ation whose mission is of interest to you. Arts .i5ic 0rgani1ation 'conomic 2e5elopment 'ducation 'n5ironment 9ealth .are 9ousing/9omelessness 9uman :ights %nternational 2e5elopment ;ental 9ealth/2isabilities $onprofit <upport 3omen/=irls <er5ices / Programs *outh <er5ices/ Programs 0ther "specify#+

3hat types of pro>ects most interest you& Please indicate your highest preference with a , your second choice with a 6, and so on. Place an 7 by any area that you will not accept a placement in.
Board 2e5elopment/=o5ernance Business Planning/<trategy 'arned %ncome <trategies Finance Fundraising <trategy =rant 3riting 9uman :esources ;anagerial Accounting ;arketing ;embership 2e5elopment 0perations 0rgani1ation 2e5elopment Performance ;easurement Program '5aluation

0ther "specify#+ 2o you ha5e any special geographic or transportation needs as it relates to attending board meetings "e.g. must be located in the city, must be close to a train station, etc.#& %s there a particular nonprofit organi1ation that you are interested in& %f so, please pro5ide the organi1ation(s name and contact information. 3e will contact them to see if they are interested in participating in the program.

Please email this completed application to phillyboardfellows)gmail.com.