Your InformationName(Required) First Last Preferred Pronouns Street Address(Required) City(Required) State(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code(Required) Email(Required) Phone Number(Required) Employer Title LinkedIn Profile We strive for a board with demographics representative of our stateThank you for sharing demographic information. Answering no will not disqualify any candidate.Do you identify with one or more of the following: Black/African American, Asian, Pacific Islander, Latinx, Indigenous People (Native American/Hawaiian/Alaskan)? Yes No Continuing with demographics, are you Female, LGBTQ+, Person with a Disability or a member of another under-represented group? Yes No ExperiencePlease tell us about your board and professional experience.Do you have at least 3 years of previous board experience?(Required) Yes No Please tell us about your previous board service (e.g. name or org, length of service, Director or Officer role, etc)(Required)Please tell us about your professional experience, industry, specialized knowledge, etc. that you believe will be valuable to board service at the Steinberg Institute. Also, please discuss your familiarity with nonprofit finance principles, governance, mission-related knowledge or experience, business development.(Required)Please upload your resume.(Required)Accepted file types: doc, pdf, docx, Max. file size: 256 MB.Board of Directors ServiceThis section covers your motivation for serving on the Steinberg Institute Board of Directors and confirms understanding of the commitments you will be asked to make if elected.Nominated By(Required)First and last name; if self-nominated enter "self." Besides your nominator, what is your connection to the Steinberg Institute?(Required)eg, donor, volunteer, friend of a board member or staff, professional relationship, etc. For consideration to serve on the Steinberg Institute Board of Directors, we ask that you review Board Expectations & Benefits and meeting schedule, which were sent as attachments to the email that included the link to this application, and our website www.steinberginstitute.org. When you have completed these steps, please check each corresponding box.(Required) I have reviewed the Board Expectations & Benefits and understand my role and responsibilities if I am elected to the board. I have reviewed the meeting schedule and confirm that, in general, I am able to attend meetings on these days/times. I have reviewed the Steinberg Institute website thoroughly. In your own words, please describe your understanding of the Steinberg Institute mission and tell us why you are interested in board service specifically with the Steinberg Institute.(Required)In addition to governance, among the most important roles of the board are fundraising and networking. Please describe your experience with fundraising and examples of your ability to engage your personal and professional networks in support of the Steinberg Institute's mission and financial sustainability.(Required)The Steinberg Institute requires certain commitments from board members as outlined below. Please read each and place a check mark indicating your understanding and acceptance of these expectations if you are elected to the board.(Required) I will attend at least 75% of board and assigned Committee meetings, and come to each prepared. I will support fund development, which includes making introductions to potential donors and meeting a minimum “give and get” contribution of $10,000. I understand that a board term is 2 years and continuation for additional terms (3-term limit) depends on being re-nominated and re-elected. I will attend Steinberg Institute sponsored events when possible. I understand and accept that the Steinberg Institute uses electronic mail to deliver meeting materials and other critical, and sometimes confidential, information. Further, I will maintain these documents securely and destroy them at the end of board service. If there is anything else you'd like to share relevant to Steinberg Institute Board of Directors service, please enter it here.PhoneThis field is for validation purposes and should be left unchanged.