Charlotte Black Pride Application for Board Membership Question Title * 1. Name & Contact Information Name Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 2. How do you identify? What are your pronouns? Question Title * 3. What CBP Board position are you applying for? Senior Community Liaison Community Outreach Director Question Title * 4. Please list any events that you have volunteered for with CBP. Please include the year you volunteered. Event Year Event Year Event Year Question Title * 5. Please list any board or committee positions that you hold or have held (business, civic, community, fratenal/sororal or social), the name of the organization and your dates of service. Organization/Position/Dates of Service Organization/Position/Dates of Service Organization/Position/Dates of Service Organization/Position/Dates of Service Organization/Position/Dates of Service Organization/Position/Dates of Service Question Title * 6. Education/Training/Certificates College Degree(s) Training Certificate(s) Question Title * 7. What skills/experience do you have that will contribute to the position that you are interested in? Community Service Public Relations Non-Profit Organizations Program Evaluation Personnel, HR Finance/Accounting Fundraising Education/Instruction Project Management Event Planning Grant Writing Outreach/Advocacy Public Relations/Communications Administration/Management Other (please specify) Question Title * 8. Why are you interested in serving on the Board of Directors for CBP? Question Title * 9. Please copy and paste your most recent resume in the box below for our review. Next