BOARD INTEREST FORM

First name

Last name

Email

Best contact number

Do you reside in Charlotte or Mecklenburg County?

Yes

No

A nearby county

What draws you to our mission and focus on wellness equity through lifestyle education?

What experience do you have working with grassroots organizations, especially those serving historically underserved communities?

Have you attended a Power is Giving (EDD Summit, EDD Talks Lunch & Learn, EDD Fit & Fuel Tennis) program?

Yes

No

Please briefly describe your past non profit board experience or volunteer experience.

What are 3 characteristics you believe are essential for a high-functioning nonprofit board?

Would you be interested in joining or helping to develop any of the following committees? (check any that apply)

Governance Committee

Finance Committee

Advisory Committee

Development Committee

I understand that serving on the Power is Giving board is an active governance role requiring time, accountability, adaptability and integrity to help us achieve our mission.