Detroit Board Leadership Application

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Thank you for your interest in the Detroit Board Leadership program. To be considered, please complete the following application.

Upon completion, you will be contacted for an in-person interview and a personality profile will be conducted. Leadership participants should be prepared to attend an all-day training and subsequent board meetings as preparation.

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Today's Date

Your Name

Address

Phone

Cell

Your Email

Your Motivation: Why are you interested in serving on an independent school board at this time? What do you hope to contribute and gain from experience?

How far are you willing to travel? Please indicate distance in miles.

Indicate your availability to attend monthly board meetings (check all that apply):
 Morning Afternoon Evening

Indicate your preference of students served (check all that apply):
 No preference Elementary Middle High

Indicate your preference of the Type of School:

 

Provide Current Employment

Organization Name

Address

Your Title/Position

Phone

E-mail (if different from one listed above)

Type of business or organization

Primary service(s) and area/population served

Preferred method of contact
 Work Residence

Community Leadership Experience:
Please list any leadership roles you have had with business, civic, community, fraternal, political, professional, recreational, religious or social organizations. Please list the most recent first and please indicate number of years served.

Education/Training/Certificates:

Skills, Experience and Interests(Please check your top two areas of interest or expertise)

 

Gender
 Male Female

Are you a U.S. citizen?
 Yes No

For purposes of reporting to our funders, please select your race/ethnicity

Other/Self Identification

Please include your resume

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Thank you for your interest in applying. You will be contacted by our project coordinator once your application has been reviewed.

As a reminder, the Detroit Regional Chamber serves as a connector in this process. Final board placement decisions are made at the discretion of the independent school's governing board and school's leadership

How Can We Help?

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Your Message

 YES I would like to receive emails from the Detroit Regional Chamber.

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How Can We Help?

Your Name (required)

Your Email (required)

Subject

Your Message

 YES I would like to receive emails from the Detroit Regional Chamber.

By submitting this form, you acknowledge that you have read the Chamber's Privacy Policy, agree to its terms and consent to allow the Chamber to use your information consistent with our Privacy Policy.

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