Board Member Application

Date*

Name*

First Last

Title

Mr.
Ms.
Mrs.
Rev.
Dr.
Rev. Dr.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Church / organization

Role / title in that church / organization

Board position(s) that interests you*

Please select one or more

Co-moderator
Secretary
Treasurer
Connectivity Workgroup Co-lead
Education, Resources, and Training Workgroup Co-lead
Partnerships Workgroup Lead
Open to any

How long have you been involved with POAMN?

Brief bio*

Tell us about your experience in the Presbyterian Church and other organizations.

Skills or experience that would benefit POAMN*

Background in older adult ministry*

How do you see your faith guiding your involvement with POAMN?*

Board meeting attendance

POAMN's board typically meets every other month by Zoom and in person once per year at the annual conference. Do you commit to attending these meetings?

Yes
No

Board term

Do you commit to serving an initial minimum two-year term on the POAMN board?

Yes
No

References*

Please provide the names and contact information of two references who can speak to your character and abilities.

Certification

By submitting this application, I affirm that all information provided is true and accurate to the best of my knowledge. I understand that completing this application does not guarantee a position on the organization's board. Please type your name in the space below.

Email

This field is for validation purposes and should be left unchanged.