Board Member Application

Children (Names/Age)

Preferred Contact Method

Phone Email Text

Education Background

Tell us about your interest in our organization. Do you have experience with our mission or a similar mission?

Why are you interested in serving on our board?

Do you have previous board service, leadership, or volunteer experience? Are you presently serving on any boards?

What kinds of skills/expertise will you bring to our organization and how do you think we could best take advantage of your expertise? (Please review the list below and indicate the 2-3 area(s) in which you possess the most knowledge/skills that will contribute to the governance of the agency.)

Economic Engine (Markets/Assets/Cash Flow) Leadership (Governance/Legal, Culture/Protocols) Fund Development (Community Relationships/Connections/Fundraising) Talent (Hiring, Assessment, Succession/Staffing) Operations (Systems/IT, Data, Process, Facilities, Grounds) Program Services (Community Partnerships/Healthcare, Assessment/Delivery) Brand ID (Marketing/Communication/Presence) Strategy Other

Are you available to attend monthly board meetings?

Yes No

Are you available to serve on a Board subcommittee?

Yes No

Are you willing to consent to a criminal background check and check of the state child abuse registry?

Yes No

Would you be willing to make a personal contribution to our organization

Yes No

Are you willing to advocate for support for our organization within your network(s)?

Yes No

Although Board terms are defined as three years, the Board may allow for staggered terms. What is the Maximum term you can commit to at this time?

3 Years 6 Years 8 Years

Anything else you believe is important for us to know?

One Team. One Mission. One Voice.

Contact CFAC

(479) 621-0385

Main Campus:
2113 Little Flock Drive
Little lock, AR 72756

Satellite Facility:
Western Benton County
1555 Shankles Rd.
Gentry, AR 72734

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One Team. One Mission. One Voice.

Contact CFAC

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