2021-22 Just Speak Board of Directors Application

2021-22 Just Speak Board of Directors Application

Just Speak is a grassroots equal opportunity nonprofit. Applicants for employment or volunteering will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to this process, services, volunteering, and employment is available to all individuals. Each question should be answered completely and accurately. Your electronic signature and submission of this application indicates that you agree to a background check via iCHAT and that YOU will submit a DHS form for clearance to your local Department of Human Services. You must take your DHS Clearance to your local office to have it processed. DO NOT SUBMIT IT TO JUST SPEAK.
1. Please provide your legal name (as it appears on your Driver's License) *

First Name Last Name
2. Preferred Name *
First Name Last Name
3. Title

Ms. Mrs. Mr. Dr.
4. Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
5. Phone Number *

Area Code Phone Number
6. Email *
example@example.com
7. Driver's License # *
If this is NOT a Michigan Identification, please enter the number followed by the name of the issuing state below.
8. State and License #
Only use this box if you do NOT have a Michigan license
9. Date of Birth *

Month Day Year
Date
10. Gender Identity *

Female she/her Male he/him Gender Diverse/non-binary Prefer not to answer)
11. Race *

Black or African American Hispanic or Latino Native American/American Indian/Alaskan Native Asian Native Hawaiian or other Pacific Islander Other or prefer not to answer
12. Why would you like to serve on the Board of Directors of Just Speak? *
13. Please list any boards you now serve on, or have previously served on. If none, please write "none". *
14. What contributions do you plan to make to Just Speak? *
15. We are looking for specific professional skills to strengthen Just Speak. Please detail your experience in grant writing, major event planning, accounting, finance, sponsorship, fundraising, marketing & public relations and/or child psychology or pediatric medicine. *
16. In your own words, tell us what you know about Just Speak. *
17. Tell us how you will promote Just Speak. Do you use social media more than once a week? If so, are you willing to promote our events on your social media? Please list your username on Facebook, Twitter, and Instagram (if applicable). *
18. Thinking about children and trauma-centered programming, how would you present Just Speak to others who may volunteer, donate, or sponsor an event? *
19. Are you willing to offer individual financial support to our nonprofit regularly? *

Yes No
20. Please upload your 1 min video telling us why you are applying & how that aligns with our mission. *

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21. Do you have experience fundraising for a nonprofit? *

Yes No
22. If you answered yes, please tell us how many years of fundraising experience. Please describe the event and cause.
23. Are you a leader, team player, coordinator/connector or researcher? Please tell us how you will use one or more of the above to support Just Speak. *
24. I love to spend my free time.... (complete this sentence). *
25. Please attach your resume! *

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Appointment *
Please Access the DHS Clearance Request by Clicking the Image Below Or Click Here. The form is requested by Just Speak Inc. and should be emailed to justspeak@justspeak.org
I certify that the information provided above is true. Signature *

Clear
Date of Signature *

Month Day Year
Date
Enter the message as it's shown *
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