Board of Directors Candidate Application Thank you for your interest in serving on the Freedom's Rest Family Violence Center Board of Directors. Please complete the application below and submit for consideration.Freedom's Rest is seeking new board members to help advance our mission to provide shelter and advocacy to the survivors of domestic and sexual violence and to promote education to break the cycle of violence in our community.Interested board candidates are asked to complete the following application. Each application will be reviewed by the organizations Executive Director. Candidates who are considered to be a good fit for board service will be invited to a brief meeting the Executive Director and a tour of the shelter. This meeting will take place in Ozark. The Executive Director will then forward to the candidate's information to the Nominating Committee of the Board of Directors.Before completing the application, please follow the links below to review the Board Member Agreement and Confidentiality and Conflict of Interest Policy and Disclosure Form. Each elected member of the Board of Directors must complete and sign these forms prior to service on the board and must review annually.Board Member AgreementConfidentiality and Conflict of Interest Policy and Disclosure Form Question Title * 1. Name Question Title * 2. Personal 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 * Email Address * Phone Number * Question Title * 3. Professional Title Question Title * 4. Professional Contact Information Company * 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 * Email Address * Phone Number * Question Title * 5. Resume/CV Please upload a current copy of your resume/CV in PDF or Word format. PDF, DOCX, DOC file types only. Choose File Choose File No file chosen Remove File Please upload a current copy of your resume/CV in PDF or Word format. Question Title * 6. Please describe your interest in serving on the Freedom's Rest Family Violence Center's Governing Board of Directors. Why, of all the places where you could volunteer your time, do you want to serve on this Board? Question Title * 7. Have you previously been involved with Freedom's Rest Family Violence Center? If so, how? Question Title * 8. Do you have a professional or personal relationship with any member of the Freedom's Rest staff or board of directors, past or present? If yes, please explain, including name(s) and relationship. Question Title * 9. Please tell us about other organizations where you have volunteered or served as a board member (current or past). Question Title * 10. What particular skills, interests, or experience can you contribute to Freedom's Rest Family Violence Center? Question Title * 11. If you are not selected for board leadership, are you interested in working with Freedom's Rest Family Violence Center in other ways? I submit this application for the Board of Directors of Freedom's Rest Family Violence Center and attest that I have reviewed the responsibilities of Freedom's Rest Board members and am willing to fulfill these responsibilities. I have answered the questions above completely and truthfully. Question Title * 12. Signature Question Title * 13. Date Date Date Done