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Board Application

Thank you for your interest in board service.

L'Arche Erie is a community where people with and without intellectual disabilities share life together, building relationships rooted in respect, belonging, and mutuality. This application helps us learn more about your interests, experience, and the gifts you may bring to the Board of Directors

Unable to complete the application online? Print it out and drop it off in person.

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Prospective Board Member Application

1. Contact Information

Name

First Name *

Last Name *

Preferred Name

First Name

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Phone

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Home Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Current Employer / Organization

Position / Title

Preferred method of contact:

Email
Phone
Text

2. Your Connection to L'Arche Erie

How did you first lean about L'Arche Erie?

Have you previously been involved with L'Arche Erie?

If yes, please describe your involvement:

Why are you interested in serving on the L'Arche Erie Board of Directors?

3. Mission & Board Service

What about the mission and values of L'Arche is meaningful to you?

What do you hope to contribute through service on the Board?

What would you hope to learn or experience through Board service?

4. Experience, Skills & Gifts

Please check any areas in which you have experience, expertise, connections, or interest:

Please list any other relevant skills not shown in the above options.

Tell us about the skills, experiences, relationships, perspectives, or personal gifts you believe would benefit L'Arche Erie:

5. Community Involvement

List current or previous board, committee, volunteer, civic, professional, faith-community, or nonprofit involvement.

Include the Organization name, your role, and the dates of your involvement.

6. Board Participation

Are you able and willing to regularly attend Board meetings?

Yes
No
Would like to discuss / learn more

Are you willing to serve on a Board committee or assist with special projects?

Yes
No
Would like to discuss / learn more

Are you comfortable serving as an ambassador for L'Arche Erie?

Yes
No
Would like to discuss / learn more

Are you willing to support fundraising and community-development efforts in ways appropriate to your abilities and relationships?

Yes
No
Would like to discuss / learn more

7. Relationships & Potential Conflicts of Interest

Do you have any personal, professional, financial, or organizational relationships that could potentially create - or appear to create - a conflict of interest while serving on the L'Arche Erie Board?

If yes, please briefly explain:

A potential conflict does not necessarily prevent Board service; this information helps identify and manage possible conflicts.

8. Getting to Know You

What does a welcoming and inclusive community mean to you?

Is there anything else you would like us to know about you as we consider your interest in Board service?

9. References

Reference 1

Please include name, phone number, email address, and the individual's relationship to you.

Reference 2

Please include name, phone number, email address, and the individual's relationship to you.

Applicant Acknowledgement

Acknowledgement

I understand that submitting this application expresses my interest in Board service and does not constitute an appointment to the L'Arche Erie Board of Directors. If selected, I understand that Board membership carries responsibilities related to governance, participation, confidentiality, ethical conduct, stewardship, and support of the mission of L'Arche Erie.

Yes, I understand.

Applicant Name

First Name *

Last Name *

Application Date

Thank you for considering service with L'Arche Erie.

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