Board Member Application

Term and Participation Expectations:

SCMC Board members are elected for a 2-year term (beginning July 1)

Vacancies can be filled on an ongoing basis

Board members are expected to attend all meetings

Board meetings are held bi-monthly on the third Thursday at 10am (virtual or in-person)

Board Member responsibilities include:

Advocate, support and outreach to promote the organization’s mission.
Serve as an ambassador for the organization.
Strengthen and support organizational fiduciary oversight and financial management of all material business decisions.
Contribute and develop policies and plans to advance organizational objectives.
Serve as a trusted advisor to the Executive Director to advance the organizational mandate and mission.
Support a metrics-based approach to assess Board performance to ensure organizational outcomes and best-practices.
Contribute to an annual performance review of the Executive Director.
Assist in identifying, recruiting and approving other Board Members.
Operational support will consist of some combination of the following: committee service, review of agendas and organizational materials, and adherence to the organization’s bylaws and policies.

Acknowledgement(Required)

I have read the term and participation expectations and the board member responsibilities.

Name(Required)

First Middle Last

Cell Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other languages spoken (including sign language)(Required)

How did you learn about Senior Connection?(Required)

Brief Bio(Required)

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Which of the following fields do you have experience in? Check all boxes that apply.(Required)

Finance/Accounting

Fundraising

HR

Legal

Marketing/Social Media

Local Government & Advocacy

Other

Other(Required)

Please describe your experience and how this would serve the mission of the organization.(Required)

TWO PARAGRAPH MAXIMUM

Please describe any previous or current experience with nonprofit boards(Required)

TWO PARAGRAPH MAXIMUM

Please list any degrees, licenses, certifications or other designations(Required)

TWO PARAGRAPH MAXIMUM

If approved for the board, the following information is necessary to run a background check.

Date of birth(Required)

Gender(Required)

What date did you move into your home(Required)

I hereby certify that all information I have supplied in this volunteer application is true, complete, and accurate. I understand that by submitting this application, I authorize inquiries to be made concerning my suitability as a volunteer and that this application is not a guarantee that I will be accepted as a volunteer with The Senior Connection. I also give permission for criminal background, three year MVA driving record check and other checks, if applicable. Further, I acknowledge that participation in any Senior Connection program as a volunteer does not constitute employment with The Senior Connection and that I am not covered by any type of Workers’ Compensation program while performing duties associated with volunteering. I understand that The Senior Connection does not unlawfully discriminate in employment or volunteer appointments and no question on this application is used for the purpose of limiting or excusing any applicant from consideration on a basis prohibited by applicable local, state, or federal law. I agree to comply with and be bound by the agency’s safety and health rules and regulations, rules of conduct, and any other policy and/or rule or procedure set forth by the organization.

Signature(Required)

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