Board of Directors Application URLThis field is for validation purposes and should be left unchanged.Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneBusiness PhoneCell Phone(Required)Email Address(Required) Best time to reach you(Required)This field is hidden when viewing the formPreferred method of day-to-day communication Phone Call Text Email Other Birthday (month and day)(Required)Tell us why you are interested in becoming a member of Oregon Humaneโs Board of Directors.(Required)This field is hidden when viewing the formWhat value do you feel you will bring to this role?(Required)This field is hidden when viewing the formWhat is your definition of the role of a good board member?(Required)This field is hidden when viewing the formWhat is your perception of the role of the Oregon Humane Society in the community?(Required)Do you have any real or potential conflicts of interest between Oregon Humane and other affiliations or activities?(Required)This field is hidden when viewing the formWhat do you see as your role in addressing animal welfare issues including pet overpopulation, animal cruelty and factory farming? What is the role of OHS in addressing these issues?(Required)Please rate your level of experience for the following: (1 = Very Little Experience, 5 = Very Experienced)(Required)12345FundraisingKnowledge of animal welfare issuesVeterinary/medicalProblem solvingStrategic PlanningFinancial/accountingPublic relationsLegalGroup processLeadershipLegislatively connectedKey link to mediaThis field is hidden when viewing the formHow have you contributed to the welfare of animals?(Required)Please list previous experience on or with nonprofit boards, or any volunteer experience.(Required) Expectations of a member of the Oregon Humane Board of Directors: Attend a two-hour board meeting on the third Wednesday following the first Tuesday of each month. Join and attend at least one of the following monthly subcommittee meetings: Executive, Finance, DEIB, Nominating, or Advancement. Committee assignments will be at the discretion of the Chair of the Board of Directors. Become a certified volunteer Board Member by attending Oregon Humane Volunteer Orientation, which is approximately four hours on a Sunday. Support and attend our signature fundraising events: Tail Wag, Doggie Dash, Boo Bash and Diamond Collar Awards. Assist in guest development, identifying corporate sponsors and peer to peer fundraising. Become a donor to the Oregon Humane (or sustain your existing giving history) at a level that is meaningful to you. The Board Advancement committee will work with you on an individual giving plan. Board members are requested to become members of the Presidentโs Circle (donors who give $1,000 or more annually). Support and attend Oregon Humaneโs annual staff & volunteer recognition event as a board member. Please initial here to indicate that you have read, understand, and agree to the expectations above.(Required) Please provide two personal references we might contact regarding your candidacy.This field is hidden when viewing the formName(Required)This field is hidden when viewing the formRelationship(Required)This field is hidden when viewing the formEmail(Required) This field is hidden when viewing the formPhone(Required)Name(Required)This field is hidden when viewing the formRelationship(Required)This field is hidden when viewing the formEmail(Required) This field is hidden when viewing the formPhone(Required) Please provide two business references we might contact regarding your candidacy.This field is hidden when viewing the formName(Required)This field is hidden when viewing the formRelationship(Required)This field is hidden when viewing the formEmail(Required) This field is hidden when viewing the formPhone(Required)This field is hidden when viewing the formName(Required)This field is hidden when viewing the formRelationship(Required)This field is hidden when viewing the formEmail(Required) This field is hidden when viewing the formPhone(Required)Please attach an up-to-date resume.(Required)Accepted file types: pdf, doc, docx, Max. file size: 20 MB.