Are you interested in serving in an officer role? (optional) Select… Vice President Treasurer Secretary Member No Preference
Email *
Phone *
Street Address *
Address Line 2
City *
State *
Zip Code *
How did you hear about this opportunity? * Select… Email Facebook Friend/Family Instagram LinkedIn Twitter Website Other
Ethnicity Select… American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander Two or More Races White Prefer Not to Answer Other
Gender Select… Female Male Prefer Not to Say
Age Select… 22-30 31-40 41-50 51-60 61-70 71 and Older
Occupation *
Employer *
Business Address *
Area of expertise * Select… Finance Fundraising Legal Corporate Leadership Community Partnerships Other
Please describe any volunteer and/or board experience you might have. Please list any other boards or committees you are currently serving on. *
Why do you desire to serve on a board position with KM Davis Ministries? *
Briefly share your Christian faith journey and how your faith and values align with the mission of KM Davis Ministries. *
I understand that all volunteers 18 and older must complete a criminal background check. * Select… Yes No
Do you, a family member, or a business you’re affiliated with have any financial, business, or personal relationship with KM Davis Ministries, its staff, or its vendors that could present a conflict of interest? * Select… Yes No
If you answered yes above, please explain
If appointed, do you agree to comply with the KM Davis Ministries Conflict of Interest Policy and complete an annual disclosure statement? * Select… Yes No
I understand directors commit approximately 5–10 hours per month to board service. * Select… Yes No
I understand directors are expected to attend quarterly board meetings, committee activities, at least one organizational event annually, and board retreats. * Select… Yes No
Please list 3 Personal or Professional References. Include Name, Email, Phone Number, and Relationship. *
Type your full name as your electronic signature. *