Guest House

Associate Board Application

Personal Information

Prefix

First Name *

Last Name *

Home Address *

City *

State *

Zip *

Company Name

Title

Company Address

Company City

Company State

Company Zip Code

Email *

Email 2

Phone Type

Phone Number *

Alternate Phone Type

Alternate Phone Number

Please Note- Our communication is performed through email. If you prefer to be contacted by telephone, please let us know.

I prefer to be contacted by telephone

Associate Board Involvement

Have you attended an Associate Board meeting or event (If so, please include meeting/event title and date)?

Why do you want to become a member of the Guest House Associate Board? *

How did you hear about Guest House? Please check all that apply. *

Volunteer
Guest House Ambassador, Staff or Board Member
Company
Website
Social Media
Volunteer Fair
VolunteerMatch.org
Other

If you were encouraged to apply by a Guest House leader or volunteer, please list their name here:

Skills and History

What special skills or experiences would you bring to the board? (i.e. fundraising, technical skills, outreach, event knowledge, past leadership experience)

What personal goals do you hope to achieve through your membership on the Associate Board? *

Are you a member of any other charity or business boards? If so, please explain in what capacity? *

Other, please describe

Completing Service Hours as a Requirement?

Require verification of service hours?

Yes
No

If yes, total hours?

Service hours completion due date

// (mm/dd/yyyy)

Digital Signature

Please answer the captcha question

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