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Community Advisory Board Candidate Application Candidate’s Full Name: _____________________________________________ Date: _______________

Contact Information Mailing Address: _______________________________________________________________________ Email Address: ________________________________________________________________________ Preferred Phone: _____________________________ Alternate Phone: _________________________

Background and Experience Please submit a current CV/resume with current and previous education history, work experience, publications/presentations, awards/honors, and community involvement information. Please list boards and committees that you serve on or have served on, including business, non-profit, civic, community, professional, recreational, social and other organizations. Organization

Role/Title

Dates of Service

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What other volunteer commitments do you currently have? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

Contributions to the KSPS Community Advisory Board Why are you interested in serving as a board member for the KSPS Community Advisory Board? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

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What contributions do you believe you would make as a member of the KSPS Community Advisory Board? _____________________________________________________________________________________ _____________________________________________________________________________________ Please check any area(s) of expertise, skills, or interest you feel you can contribute to the KSPS CAB. __ Special Events __ Social Media __ Recruitment __ Education __ Management/organization

__ Community Outreach __ Public Speaking/Presentations __ Arts & Cultural Literacy __ Other _______________________ __ Other _______________________

What groups, organizations, and/or communities could you serve as a liaison to as a member of the KSPS Community Advisory Board? _____________________________________________________________________________________ _____________________________________________________________________________________

References Please list three references we can contact that would provide insight into your community involvement and/or areas of expertise. Name & Position

Phone Number

Email Address

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

Attestations I hereby affirm that all information in this application and any attachments is true and correct to the best of my knowledge, and authorize the KSPS Community Advisory Board or any representative thereof to contact the references listed above.

_________________________________________________________ Signature

___________________ Date

Return this application and a current CV/resume to _______________________. Thank you for applying! For Board Use Only: __ Nominee has had personal meeting with at least one current CAB member __________________ __ At least two references have been contacted by ________________and notes shared with Board __ Nominee proposed to Board __ Board action (circle one) Elected Rejected

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Date _________ Date _________ Date _________ Date _________

KSPS Community Advisory Board As part of our mandate from the Corporation for Public Broadcasting, KSPS, as a community licensee, is required to seat an Advisory Board. Such Board will act independently of the governing body of the station (the Friends of KSPS). The purpose of the advisory board is to provide a vehicle for effective community input to the station's governing body about station programming, community service and impact on the community from the station's major policy decisions. The advisory board is intended to provide the public the opportunity to be heard on station programming, community service and impact on the community of major policy decisions. All stations are encouraged to establish whatever mechanisms will be most effective, under local circumstances, to accomplish this goal. The station may exercise a reasonable degree of discretion in selecting advisory board members. The board should be reasonably representative of the diverse needs and interests of the communities served by the station. No individual representative of any particular group has a legal right to membership on an advisory board. Nor does the law empower any person, court, or government agency to require a station take or refrain from taking any action with respect to a station's programming or policies. The composition of the community advisory board must reflect its independent role, and may not include members of the station staff or governing body in anything other than an ex officio or administrative capacity. The Board members should meet at regular intervals and members should regularly attend the meetings of the advisory board. The composition of the community advisory board is reasonably representative of the diverse needs and interests of the communities served by the station. Community Advisory Board Duties include: 1. establish and follow its own schedule and agenda, within the scope of the community advisory board's statutory or delegated authority; 2. review the programming goals established by station; 3. review the community service provided by the stations; 4. review the impact on the community of the significant policy decisions rendered by the station; and 5. advise the governing board of the station whether the programming and other significant policies of the station are meeting the specialized educational and cultural needs of the communities served by the station. The advisory board may make recommendations to the governing board to meet those specialized needs.

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