Board Member Application Becoming a board member is great way to get involved in the ministry work of Care Net. Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone * (###) ### #### Cell Phone (###) ### #### Email * What role are you interested in? * Chairman Vice Chair Secretary Treasurer Member How did you hear about us? * Occupation * Are you Married * Yes No Spouse's name Have you ever been convicted of a crime? * Yes No If yes, please explain in detail. EDUCATION High School: # of years completed * 1 2 3 4 Did you earn a diploma? * Yes No G.E.D? * Yes No Name of High School College/Vocational School: # of years completed * 1 2 3 4 5 6 Degree earned School name Date attended Describe other training or degrees. PREVIOUS VOLUNTEER EXPERIENCE Please list the most recent first 1. Organization Name * Organization Address * Phone * (###) ### #### Date of service From and To * Position or Duties * Supervisor name * 2. Organization Name * Organization Address * Phone * (###) ### #### Date of service From and To * Position or Duties * Supervisor name * EMPLOYMENT HISTORY List most recent first 1. Employer * Address * Phone * (###) ### #### Date of Employment From and To * Position/Duties * Supervisor's name * 2. Employer * Address * Phone * (###) ### #### Date of Employment From and To * Position/Duties * Supervisor's name * How did you first become aware of the pregnancy center? * Briefly state what makes you interested in working with the center on its Board of Directors. * What gifts, talents, experiences, or personality traits would you bring to this ministry? * Have you ever been on the board of Directors for a nonprofit organization? * Yes No If yes, please describe How do you handle conflict with others? * How many hours per month are you willing to devote to the pregnancy center? * A normal term is 3 years. Are you able to commit to this amount of time on the Board of Directors? * Option 1 Option 2 To what extent is your spouse (if married) supportive of your application to the Board of Directors? IN THIS SECTION, PLEASE MAKE A GENERAL EVALUATION OF YOUR KNOWLEDGE IN THE FOLLOWING AREAS. Knowledge of how abortions are performed and methods used: * Poor Fair Good Excellent Knowledge of existing laws regarding abortion: * Poor Fair Good Excellent Knowledge of biblical teaching on the sanctity of human life: * Poor Fair Good Excellent Under what circumstances, if any, is abortion justifiable in your opinion? * Explain. What questions do you have concerning abortion and/or the sanctity of human life? When do you feel sexual intercourse is permissible? * BACKGROUND INFORMATION Do you consider yourself a Christian? * Yes No How long have you been a Christian? * What do you believe the definition of a Christian is? * Please give a brief statement about how you came to know Christ as your personal Savior and Lord. * CHURCH INFORMATION Name of the church you currently attend * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Senior Pastor's name * How long have you been involved in your church? * Describe positions you have held or services performed with the church. * Please list two references other than your Pastor. 1. Name * Phone * (###) ### #### Relationship * How many years acquainted? * 2. Name * Phone * (###) ### #### Relationship * How many years acquainted? * Thank you!
