BIOGRAPHICAL INFORMATION FOR BOARD MEMBERSHIP

Name:

Mailing Address:

Physical Address:

Home Phone: Cell Phone: Business Phone:

Email:

Preferred Method of Contact: ☐ Home☐ Cell ☐ Business ☐ Email

Employed with: Length of Time:

In what capacity:

Emergency Contact Name: Relationship:

Address: Phone:

Educational Background:

Professional Associations:

What special skills or abilities do you bring to this Board?

Previous volunteer/vocational experience:

Previous experience with non-profit organizations:

How did you learn about CASA?

What attracted you to CASA?

Please provide two references with their contact information (one in each category).

Personal Reference:

Professional Reference:

Your Hobbies:

Any additional information you would care to share with the Nominating Committee:

CERTIFICATION

I hereby certify that the information contained in this Washoe CASA Foundation Board of Directors form is true and correct.

I further understand that the Board of Directors of Washoe CASA Foundation may have a background check, including but not limited to a check of the Nevada Sex Offender Registry and a criminal background check completed of me prior to acceptance of my offer to serve as a member of the Board.

I understand that the Board of Directors of Washoe CASA Foundation will contact references completed on this form, and other persons as necessary.

I agree that the information contained in this Washoe CASA Foundation Board of Directors form will be used by the Board of Directors in considering my applications for service to the Washoe CASA Foundation.

Signed: ______Date: ______

Print Name: ______

Witness: ______Date: ______

Print Name: ______

WASHOE CASA FOUNDATION

Board Member Agreement

As a board member of the Washoe CASA Foundation (WCF), I am fully committed and dedicated to the vision, mission, and core values of this organization and have pledged to carry out this mission. I understand that my duties and responsibilities include the following:

  1. I am fiscally responsible, with other board members, for this organization. I will know what our budget is and take an active part in reviewing, approving, and monitoring the budget and fundraising to meet it.
  1. I know my legal responsibilities for this organization and those of my fellow board members. I am responsible to know and oversee the implementation of policies and programs.
  1. I accept the bylaws and understand that I am morally responsible for the health and well being of this organization.
  1. I will give what is for me a substantial financial donation.
  1. I will actively engage in fundraising for this organization in whatever ways are best suited for me. These may include individual solicitation, undertaking special events, writing mail appeals, and the like. I am making a good faith agreement to do my best and to raise as much money as I can.
  1. I will actively promote WCF in the community and encourage and support its staff.
  1. I will attend board meetings, be available for phone consultation, and serve on at least one WCF committee. If I am not able to meet my obligations as a board member, I will offer my resignation. I understand that by having two or more unexcused absences as I may be asked to resign.
  1. In signing this agreement, I understand that no quotas are being set, that no rigid standards of measurement and achievement are being formed. We must trust each other to carry out the above agreements to the best of our ability.

Board Member

Signed: ______Date: ______

Print Name: ______

Board Chair

Signature______Date: ______

Print Name: ______