1. About You 2. Board Service 3. Conflict of Interest 4. Review & SubmitAbout YouThe fields below have been pre-filled from your Believe in Me record. Please confirm your current role and employer, and let us know your board service preferences.Fields marked Pre-filled are pulled from your record and cannot be edited here. Contact [email protected] if anything needs correcting. First Name Pre-filled Last Name Pre-filled Email Address Pre-filled Current Job Title * Current Employer / Organization * Board Role You Are Being Considered For * Select oneBoard MemberCommittee MemberAdvisorVolunteer Leader Desired Term Start Desired Term End Board Service QuestionsPlease answer each question thoughtfully. Your responses will be reviewed by the Believe in Me Governance Committee as part of the candidacy process. Why do you want to serve on the Believe in Me Board of Directors? * Describe your prior board or civic service experience. * Describe your experience with financial oversight — such as reading budgets, audit review, or fiduciary responsibility. * Describe your key professional skills and areas of expertise. * Which board committees are you most interested in contributing to? * Describe your community interests and hobbies. Is there anything else you would like the Governance Committee to know about you?Conflict of Interest DisclosureBelieve in Me requires all board members and candidates to disclose any potential conflicts of interest. A conflict does not automatically disqualify you — disclosure is what matters. Please answer each question honestly. If no conflict exists, write "No conflict." Do you, or does a family member, have any proprietary, financial, or personal interest in any organization that does business with, or competes with, Believe in Me? * Through your relationship with Believe in Me, could you or a family member access privileged or confidential information that could benefit an outside person or organization? * Do you have, or could you have, any ability to influence Believe in Me business decisions or transactions in a way that might benefit yourself or someone you know? * Do you, or does a family member, serve in an official or leadership capacity with any organization that could create a conflict with your role at Believe in Me? * Do you, or does a family member, have any significant financial interest in any organization that could create a conflict with your role at Believe in Me? *Review & SubmitPlease review your responses before submitting. You may use the Back button to make changes. Once submitted, your candidacy packet will be reviewed by the Believe in Me Governance Committee. I confirm that all information provided in this candidacy packet is accurate and complete to the best of my knowledge, and that I am authorized to submit this information to Believe in Me. * Leave this field blank
