Project Blueprint Board Leadership Training Application

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Fields marked with an asterisk (*) are required.

Thank you for your interest in the Project Blueprint Board Leadership Training program. Please complete the following application to help us get to know you and your interests better for future board/committee placement. 

Your information

Physical Address

Employer Information

Other Information (Optional)

Experience and Expertise

Listed below are areas that are helpful to nonprofit boards. In what area(s) do you have the most experience/expertise? Please check all that apply.

Community Relationships

Below are community relationships that are helpful to nonprofit boards. Please indicate all of the areas where you can contribute your existing relationships:

Areas of Service

Please indicate the area(s) of services that are of interest to you. Please check all that apply.

By submitting this application, I certify that the above information is true and correct to the best of my knowledge.  I also agree to:

---Attend 90% of all sessions for the Project Blueprint Board Leadership Training Program, including the orientation, training sessions, and nonprofit board speed dating.  I understand that missing more than one session means that I become ineligible to receive the stipend. 

---Use the knowledge gained through this program to actively volunteer with a nonprofit located in or serving constituents in Forsyth County.

---Submit a W-9 if accepted into this program.

---Develop an action plan for stipend expenses in accordance with the guidelines outlined in the document "Professional Development Activities."  I understand that the action plan must be approved by HandsOn NWNC prior to receiving this stipend.

---Complete the training evaluation at the end of each class and a final evaluation of the overall effectiveness and impact of the program once the stipend has been spent.