The Village School

2855 Lincoln St.

Eugene, Oregon 97405

Phone: (541)434-6129, Email: village@4j.lane.edu

Website: http://www.eugenevillageschool.org

Board Service Application

Note: Please use separate sheets if you need more space.

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Phone: h.___________________________________ c. _______________________________

Email: _______________________

Best way to be reached: _______________________________________________________

Best time to be reached: _______________________________________________________

Occupation: __________________________________________________________________

1. Please tell us about any prior board service you have don, including: the organization, dates, and role you served: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Please tell us about any prior service: (if applicable, please describe and estimate the time you have spent volunteering at Village School.)

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Areas of Education, Training, Expertise:

__ Accounting/Business management                  __ Real estate development

__ Teaching/Administration                                 __  Art/Music/Design/Writing

__ Legal/Policy development                                __ Community organizing

__ Public Relations                                               __ Grant Writing

__ Fundraising                                                       __ Building trades

__Computers/IT                                                     __ Waldorf education

__ Mediation                                                          __Charter Schools

Note: You do not need experience in these areas to apply, especially if you are hard working, committed to the school, dependable, productive and get along well with others.

Please describe your experience in the above areas. Alternatively, please tell us about any experience you have had working in collaboration with others to achieve a worthwhile goal.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ (over)

4. Why are you interested in serving on this Board?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10- Point Board Service Understanding

Applying and agreeing to serve on the board requires a clear understanding of  your responsibility to:

Attend most board meetings as well as special events

Develop a deep understanding of the Village School mission and values

Take on special assignments and serve on at least one committee

Participate in ongoing recruitment by suggesting valuable nominees to the board

Stay abreast of developments and come prepared to meetings

Work collaboratively and constructively with other board members

Commit time during the month to board service

Continually evaluate your compliance with this understanding

Consider making a financial contribution to the organization if you are able

Make room for others if you cannot comply with this understanding*

* If you experience changes in your life that make you unable to live up to this commitment, will you voluntarily resign in a timely fashion? Would you also be willing to help recruit, prepare and groom your replacement, if needed?

Please agree to the terms of the 10-point understanding, by initialing the statement below:

“I have read the 10- point understanding and agree to abide it within my means.”

Your initials: ______

Board Service Preferences

Please circle any of the following areas you would be interested in working on:

Fundraising               Policy and Governance        Finance

Student Achievement and Community Relations                       Site           Development