Cornell Cooperative Extension of Steuben County Volunteer ...
Cornell Cooperative Extension of Steuben County Volunteer Leadership Information Form Cornell Cooperative Extension of Steuben County seeks new Board and Program Committee members for 2018 and beyond. The role of the CCE Steuben Board of Directors and Program Advisory Committees is to establish and evaluate the Association’s programs, ensure and manage adequate financial resources, enhance CCE’s public image, and ensure legal and ethical integrity and accountability. We are seeking new volunteer leaders who are committed to the mission of Cornell Cooperative Extension and are interested in helping maintain and improve this 100-year old organization to catalyze change in Steuben County. Please complete the following information to be considered by the Nominating Committee each fall. Because there are limited openings on the Board and Committees each year, we will retain your information and consider you for up to 5 years. To be considered for the 2018 elections, please submit this form by September 30, 2017. ☐Board of Directors ☐4-H Program Advisory Committee ☐Human Ecology Advisory Committee ☐Agriculture & Natural Resources Advisory Committee Name: __________________________________________________________________________ I am interested in joining the…… (check all that apply)
Address (Physical Residence): _______________________________________________________ Phone Number: _______________________________
Home
Cell
Work
Email: _________________________________________________________ Preferred Contact Method:
Email
Phone
Employer: ________________________________________________________________________ Title/Position: _____________________________________________________________________ Education/Training/Certificates:
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ How are you involved with CCE Steuben, either currently or in the past?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ How would CCE Steuben benefit from your involvement on the Board?
_____________________________________________________________________________ _____________________________________________________________________________
Skills, experience, and interests (check all that apply) ☐Finance/Accounting ☐Policy Development ☐Personnel/HR ☐Program Evaluation ☐Public Relations/Marketing ☐Special Events ☐Nonprofits ☐Education ☐Fundraising ☐Legal ☐Business ☐Youth Development ☐Agriculture ☐Natural Resources/Environment ☐Government ☐Other _________________________________________________ Why are you interested in joining CCE’s Volunteer Leadership Team?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Do you have any questions about CCE Steuben or Board Membership?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Per CCE’s Volunteer Involvement Policy, all board members must agree to and pass a complete background check to be considered. If available, please attach your resume or a brief biographical statement. Return this form by mail, email, or in person to 3 Pulteney Square East, Bath, NY or [email protected].
Thank you for your interest in and support for Cornell Cooperative Extension of Steuben County!
For Official Use Only: Date Received: ____________________ Date Reviewed by Nominating Committee: ________________________ Keep Application until: ______________________
Address (Physical Residence): _______________________________________________________ Phone Number: _______________________________
Home
Cell
Work
Email: _________________________________________________________ Preferred Contact Method:
Phone
Employer: ________________________________________________________________________ Title/Position: _____________________________________________________________________ Education/Training/Certificates:
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ How are you involved with CCE Steuben, either currently or in the past?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ How would CCE Steuben benefit from your involvement on the Board?
_____________________________________________________________________________ _____________________________________________________________________________
Skills, experience, and interests (check all that apply) ☐Finance/Accounting ☐Policy Development ☐Personnel/HR ☐Program Evaluation ☐Public Relations/Marketing ☐Special Events ☐Nonprofits ☐Education ☐Fundraising ☐Legal ☐Business ☐Youth Development ☐Agriculture ☐Natural Resources/Environment ☐Government ☐Other _________________________________________________ Why are you interested in joining CCE’s Volunteer Leadership Team?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Do you have any questions about CCE Steuben or Board Membership?
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Per CCE’s Volunteer Involvement Policy, all board members must agree to and pass a complete background check to be considered. If available, please attach your resume or a brief biographical statement. Return this form by mail, email, or in person to 3 Pulteney Square East, Bath, NY or [email protected].
Thank you for your interest in and support for Cornell Cooperative Extension of Steuben County!
For Official Use Only: Date Received: ____________________ Date Reviewed by Nominating Committee: ________________________ Keep Application until: ______________________
