Board of Directors Application CompanyThis 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)Preferred method of day-to-day communication(Required) Phone Call Text Email Other Birthday (month and day)(Required)Please state why you are interested in becoming a member of the Oregon Humane Society’s Board of Trustees.(Required)What value do you feel you will bring to this role?(Required)What is your definition of the role of a good board member?(Required)What 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 OHS participation and other affiliations or activities?(Required)What 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, 7 = Very Experienced)(Required)1234567FundraisingKnowledge of animal welfare issuesVeterinary/medicalProblem solvingLong-range planningFinancial/accountingPublic relationsLegalGroup processLeadershipLegislatively connectedKey link to mediaHow have you contributed to the welfare of animals?(Required)Please list previous experience on or with nonprofit boards, or any volunteer experience. Provide a reference, including name, relationship, email, and phone number for each.(Required) Expectations of a member of the Oregon Humane Society 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 the Oregon Humane Society’s 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 Society (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 President’s Circle (donors who give $1,000 or more annually). Support and attend the Oregon Humane Society’s 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.Name(Required)Relationship(Required)Email(Required) Phone(Required)Name(Required)Relationship(Required)Email(Required) Phone(Required) Please provide two business references we might contact regarding your candidacy.Name(Required)Relationship(Required)Email(Required) Phone(Required)Name(Required)Relationship(Required)Email(Required) Phone(Required)Please attach an up-to-date resume.(Required)Accepted file types: pdf, doc, docx, Max. file size: 20 MB.
