Board Member Application

Interested in becoming a TSW Board Member? Let us about know why you are interested and any special skills that you bring.

DUTIES & RESPONSIBILITIES

Attend the regular meeting of the Board of Directors, currently the Board meets quarterly.
Serve in an active role on at least one committee.
Actively support the fundraising activities of the organization in some capacity.
Give an annual gift according to my personal means.
Commit the necessary time to familiarize myself with the issues that will come before the board and upon which I will be expected to make decisions for the organization.

Name

Home Address

Home City, State, Zip

Home Phone/Cell

Home Email Address

Occupation/Title

Business Name

Business Address

Business City, State, Zip

Business Phone

Business Email Address

Preferred Email Preferred Email Business Home

Preferred Phone Preferred Phone Business Home/Cell

Preferred Mail Preferred Mail Business Home

Why are you interested in serving on the Board of Directors of TSW?

What special skills can you bring to the board?

Paste resume or curriculum vitae here:

Consent Consent If selected, I agree to have my name placed in nomination for the Board of Director for The Samaritan Women. By agreeing to this nomination I understand that I agree to carry out the duties and responsibilities outlined in the bylaws.

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