SAMPLE LIST



Board of Directors – Questions

1. How many Board Members are serving on the Board of Directors at the time of this application? ____ What is the minimum ____ and maximum ____ allowed by your bylaws?

2. How many Board Members have made a personal financial contribution to the organization in the past 12 months? _____

3. How many Board Meetings are scheduled yearly? _____ How many have occurred with a quorum of members in the past 12 months? _____

4. What is the length of your Board’s term of service? _____ What is the maximum number of successive terms? _____

Board of Directors Form

After you have answered the above questions, please fill out the form below. If you have your own board format, you may attach it (2-page limit) but you must also include answers to the above questions. Be sure that your board list includes names, officers, committee service, terms of service, professional or community affiliation and geographic representation.

|Board Member |Officer and/or Committee |Term of service |Primary professional or |Geographic Representation |

| | | |community affiliation |(Town/county) |

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