2024 Board Observer Program Expression of Interest

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Organization Point Person for Contact Regarding Program (with Contact Information):

First Name

Last Name

Preferred Pronouns

Pronouns (if other)

Preferred E-mail

E-mail Type

PersonalWork

Preferred Phone

Phone Type

PersonalWork

Board Mentor (Bio & Contact Information)

You are required to assign a mentor for your Observer. Please attach a short biography and contact information for the individual who will serve as the Observer’s mentor. A mentor that sits on your Board is preferred, however, you may pair the observer with a staff member who attends Board meetings. If you do not know who your mentor will be, you can provide this information at a later date.

Mentor First Name

Mentor Last Name

Mentor Preferred Ponouns

Mentor preferred pronouns (if other)

Mentor E-mail

E-mail Type

PersonalWork

Mentor Phone Number

Phone Type

PersonalWork

Please provide a bio for your selected Board Mentor.

How did you hear about the Board Observer Program?

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