YSA Board Application Form

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YSA Board of Directors Application Form

Thank you for your interest in serving as a member of the Young Scientist Academy (YSA) Board of Directors. Please upload a resume/CV with this application, along with additional pages of information that you think is relevant to YSA. For questions, please contact Clint Schaefer at clintschaefer@hotmail.com

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Employer/Position *

Previous Board Experience (yes/no, list) *

Education & Training *

Statement of interest in serving on the YSA Board *

Areas of expertise (check all that apply): *

Finance/Accounting Fundraising Grant writing Community Relations Event/Project Management Nonprofits Marketing Community Outreach Community Service Volunteer Coordination/Management Strategic Planning Other (describe below)

If 'Other' selected, please describe: *

Describe how you can contribute to the success of YSA: *

YSA Board Member Commitments

Regularly attend and participate in Board meetings, committee meetings, planning sessions, other activities, etc.
Prepare for meetings by reviewing minutes, agendas, reports, etc.
Serve a minimum of one (1) 2-year term
Build a collegial relationship with other Board members
Understand the financial implications of Board decision
Be knowledgeable of YSA’s mission and programs
Promote YSA’s work in the community

Can you fulfill the commitments of a YSA Board Member? *

Yes No

Do you have the time and interest to be a YSA Board Member? *

Yes No

Upload Resume/CV or any other supporting documents as one file: *

Max file size: 20MB

Digital Signature of Applicant (write full name) *

Date *

I agree to receiving marketing and promotional materials

Submit

Young Scientist Academy // 501(c)(3) EIN 81-4999928
Suite 420, 20 N 4th Street
Wilmington, NC 28401
Ph: (910) 386-1867

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