Fair Chance Pathways Application: Affirmation of Board Support
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1. Organization's Name:
2. Executive Director's Name:
3. Executive Director's Email Address:
4. Board Chair's Name:
5. Board Chair's Email Address:
6. Board Chair's Phone Number:
7.
Please describe 3-4 activities/accomplishments the Board has been responsible for in the past year that have advanced the organization.
8.
What does your Board of Directors hope to achieve from a capacity building partnership with Fair Chance?
9.
When working in Board Development during the Fair Chance partnership, at least one member of the Board will need to engage with the Capacity Building Specialist (2 - 3 hours/week for approximately 3 months).
Please specify who will be the Board Representative working with Fair Chance during the partnership.
The Board Chair
Another Board Member, named below
Board Representative Information
Board Representative Name:
Board Representative Email Address:
Board Representative Phone Number:
The Board Representative named above is fully committed to meeting the following requirements of the partnership: attending orientation; working on board development with the Capacity Building Specialist for 2 - 3 hours/week for approximately 3 months; and celebrating the end of the partnership by attending a special event or ensuring that a board member is in attendance.
Yes
No
10.
I, as Board Chair, am fully committed to meeting the following requirements of the partnership: attending orientation; participating in the assessment; and celebrating the end of the partnership by attending a special event or ensuring that a board member is in attendance.
Yes
No
As the board representative for working on board development, I am fully committed to an additional requirement to meet with the Capacity Building Specialist for 2 - 3 hours/week for approximately 3 months.
Yes
No
11.
As part of the partnership, board members may be required to engage in additional meetings, separate from regularly scheduled board meetings. Is the Board willing to actively engage in the partnership, as well as support the Executive Director throughout their involvement in the partnership?
Yes
No
By electronically signing this form, I affirm that the Board of Directors supports our organization's application for a capacity building partnership with Fair Chance.
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