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FAQ
CANCER EDUCATION AND RESEARCH INSTITUTE (CERI)
Board of Directors Candidate Application Form
CANDIDATE INFORMATION
*
Indicates required field
Name
*
First
Last
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Employer Name
*
Employee Title
*
Employer Address:
*
Employer Phone
*
Employer Email
*
Type of Business
*
Primary Service Area & Customers Served
*
Please list Boards & Committees that you serve on or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). List Organization, Role/Title & Years of Service.
*
Education/Training/Certificates:
*
Skills, Experience & Interests (check all that apply):
*
Fundraising
Finance, Accounting
Public Relations, Marketing, Communications
Special Events
Administration, Management
Community Service
Outreach, Advocacy
Grant Writing
Policy
Development
Nonprofit Experience
Program Evaluation
Education, Instruction
Personnel, Human Resources
Other
Are you a (check all that apply):
*
Cancer patient
Parent or family member of a cancer patient
Cancer survivor
Cancer specialist - MD or MD/PhD
Cancer scientist - PhD
Nurse - RN or NP
Representative of the public
BOARD CANDIDATE QUESTIONNAIRE
1. Why are you interested in serving on the Cancer Education and Research Institute® (CERI) Board?
*
2. Have you served (or are currently serving) on other nonprofit boards? If so, which one(s) and what was your role?
*
3. If selected, how do you feel you could contribute to the success of CERI?
*
5. Are you comfortable soliciting others for funding? If yes, describe any experience(s) in doing so:
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4. Are you willing to give time, energy, and resources to support the mission of CERI as an active Board member?
*
6. What is your finance experience?
*
7. What does leadership mean to you?
*
8. What do you believe are the two most significant steps that would accelerate the fulfillment of CERI’s mission?
*
9. Is there anything else you think would be of interest or you would like to share?
*
Please attach a copy of your current resume
*
Max file size: 20MB
You agree with the Board Member Application Statement
*
I agree
Successful applicants will complete a Board Member Agreement upon appointment to the position.
Submit
Board Member Application Statement
