Courageous Access Board Application

Thank you for your Board Interest. This document will help you understand and agree to board officer duties, expectations, and help you make your final decision upon being interviewed. We're excited to go the next step!

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* 1. Please provide your email address
(Sample Format: suchandsuch@gmail.com.)

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* 2. Please provide a phone number that can receive text messages. [Please include a 10-digit number in the following format: 515-555-1212]
(Please note Courageous Access IS NOT responsible for any charges your mobile carrier may assess)

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* 3. Please notice "A Message from the Board" on our website. We serve Black women DV survivors and their children co-survivors as well as youth of color with our programming. In order for Black women to feel emotionally safe with the knowledge that Black women are making the decisions on the programming and atmosphere that touches them and their children, it is vital that the leadership of Courageous Access reflect those we serve. Black women throughout the rich variances of the African diaspora are welcome.

We'd love to be able to share the rich representation our board members bring! Beautiful, please choose the answer that fits you best. If you don't see it - write it in!

Black or African American

Afro-Latin

Afro-Caribbean

Black and 1 additional race/ethnicity

Black and 2+ race/ethnicity

Other (please specify)

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* 4. Do you understand and agree to membership eligibility standards as listed below:
"Membership is granted after completion and receipt of a membership application, interview, criminal background check and annual dues. All memberships shall be granted upon a majority vote of the Board."

Additionally, do you understand and agree to contributing to the organization through annual dues, please note dues can be fundraised or donated or a combination - you do NOT have to pay from your pocket.

Yes

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* 5. Do you understand and agree that there is no compensation for your duties as a Board member of Courageous Access?

Yes

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* 6. Here are the offices that exist on the Board of Courageous Access. Please check all that apply to indicate the office(s) where you have an interest. Please understand that you will need to be prepared to demonstrate competency for any office you select. If you have no interest in an office, no problem! Please check the box for the Board Member.

Vice President.
"The Vice-President shall be vested with all the powers and shall perform all the duties of the President during the President's absence.

The Vice-President's duties are:
a. Chairing their prospective committee and such other duties as may, from time to time, be determined by the President or the Board. "

Secretary.
"The Secretary shall attend all meetings of the Board and of the Executive Committee, and all meetings of members.
The Secretary's duties shall consist of:

a. Record all votes and minutes of the Board in a book or folder to be kept for that purpose.
b. Work with the President to make the arrangements for all meetings of the Board, including the annual meeting.
c. Send notices of all meetings to the members of the Board and shall take reservations for the meetings.
d. Perform all official correspondence from the Board as may be prescribed by the Board or the President."

Treasurer.
"The Treasurer duties shall be:

a. Submit for the Finance and Fund Development Committee approval of all expenditures of funds raised by the Board, proposed capital expenditures (equipment and furniture).
b. c. Assist in direct audits of the funds of the program according to funding source guidelines and generally accepted accounting principles.
c. Perform such other duties as may be prescribed by the Board or the President."

Board Member (not an officer, but a voting member of the working Board of Courageous Access)

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* 7. Do you understand and agree to abide by the bylaws of the Board, including the guidelines that apply to all Board members and officers of the Board as listed below:
"...The Board of Directors shall, upon election, immediately enter upon the performance of their duties and shall continue in office until their term has ended. All members of the Board of Directors and Advisory Council must be approved by a majority vote of the members present and voting. Quorum of the Board must be present to vote on new members of the Board...

No two members of the Board of Directors related by blood or marriage/domestic partnership within the second degree of consanguinity may serve on the Board of Directors at the same time ((i) First-degree relatives include an individual's parents, siblings, and children. (ii) Second-degree relatives include an individual's grandparents, grandchildren, uncles, aunts, nephews, nieces, and half-siblings.)

Newly elected members of the Board of Directors who have not served before shall serve initial one-year terms. At the conclusion of the initial one-year term, members of the Board of Directors may serve additional two one-year terms."

Yes

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* 8. Do you agree to attend an interview, whether in person or virtual, as a part of qualifying for a position as Board member and/or officer of the Board of Courageous Access?
(PLEASE NOTE: Answering "no" will render an applicant ineligible for Board membership.)

Yes

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* 9. I understand that by providing my first and last name in the textbox, I am providing my electronic signature. My electronic signature is attesting that I am willingly signing my agreement with the information provided in this document. (Please use the following format: Minnie Blige)

Courageous Access Board Application

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* 1. Please provide your email address (Sample Format: suchandsuch@gmail.com.)

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* 2. Please provide a phone number that can receive text messages. [Please include a 10-digit number in the following format: 515-555-1212] (Please note Courageous Access IS NOT responsible for any charges your mobile carrier may assess)

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* 5. Do you understand and agree that there is no compensation for your duties as a Board member of Courageous Access?

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* 8. Do you agree to attend an interview, whether in person or virtual, as a part of qualifying for a position as Board member and/or officer of the Board of Courageous Access?(**PLEASE NOTE: Answering "no" will render an applicant ineligible for Board membership.**)

Question Title

* 9. I understand that by providing my first and last name in the textbox, I am providing my electronic signature. My electronic signature is attesting that I am willingly signing my agreement with the information provided in this document. (Please use the following format: Minnie Blige)

* 1. Please provide your email address
(Sample Format: suchandsuch@gmail.com.)

* 2. Please provide a phone number that can receive text messages. [Please include a 10-digit number in the following format: 515-555-1212]
(Please note Courageous Access IS NOT responsible for any charges your mobile carrier may assess)

* 8. Do you agree to attend an interview, whether in person or virtual, as a part of qualifying for a position as Board member and/or officer of the Board of Courageous Access?
(PLEASE NOTE: Answering "no" will render an applicant ineligible for Board membership.)