You can download this application as a pdf. 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. __________________________________________________________________________________

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:
Site               Development                       Fundraising               Policy and Governance              
Finance                   Student Achievement and Community Relations              

 

Please return application to:
The Village School
2855 Lincoln St.
Eugene, Oregon 97405
Phone: (541)345-7285
Fax: (541)242-6874
Email: village@4j.lane.edu