Board of Directors, Trustees, and Advisory Council Information Form

Part 1

First Name

Last Name

Pronouns

Home Address

Cell Phone 🛈

Home Phone 🛈

Work Phone 🛈

Personal Email

Work Email

Which is your preferred email for communications from YES?

Spouse/partner name

Children's names and ages

Part 2

Employer

Title/Position

Company Website

Work Address

What is your industry of influence?

If you are on Linkedin, please paste the URL for your profile.

Part 3

Race/Ethnicity

Gender Identity

Sexual Orientation

Disability Status

Part 4

What is your interest and motivation in serving YES in a leadership capacity?

Current or past boards you serve/served on

Volunteer leadership experience and/or other charities you are involved with

Other affiliations (professional, alumni, honorary)

Is there any other information you would like to share with YES?

0/300 words

In addition to completing this form, please email your resume and headshot/professional photo to Bryan Van Dorpe (bvandorpe@yeskids.org). Thank you!

Applicant Signature and Date: *

clear

All YES Volunteers must complete a CORI-SORI background check and attend a volunteer orientation or interview. Some YES volunteer programs require additional training that will be communicated to you through the volunteer director after your background check and orientation are complete.