ALL OF OUR VOLUNTEERS ARE VERY IMPORTANT TO US
| project_unity_usa_membership_application.docx |
MEMBER APPLICATION
Name ___________________________________________________________________________
Age Under 30 _______ 30-45 _______ 45-60 ______ Over 60 _______
Home Address: __________________ __________________________________________________
City ____________________________________ State____________ Zip___________________
Home Phone: (______)_____________________ Cell: (____)_____________________________
Fax: (______)____________________________
Race/Ethnicity/Disability: African-American/Black ________ Asian/Pacific Islander _______
Caucasian _______ Hispanic/Latino _______Native American/Indian _______Other _____________
Employer: ___________________________________________________________________________
Title: ___________________________________________________________________________
Work Address: _______________________________________________________________________
City __________________________________State__________________Zip___________________
Work Phone: (_________)__________________ Fax: (______)___________________________
Email Address: _______________________________________________________________________
Listed below are ways in which members can participate. We would like to know which activities most interest you either because you have experience and can lend expertise or because you have interest in and would like to develop your skills and knowledge in a particular area of member service. Rank your interest 1-5:
1 -indicates no interest, 5 –indicates great interest
Please indicate if you have a professional skill or practical experience in an area by providing a short explanation [E]
1. Administration/Management: Helping with the administrative efficiency of the organization
1 2 3 4 5 E__________________________________________________________
2. Finance: Assisting with specific financial aspects of the nonprofit
1 2 3 4 5 E_________________________________________________________
3. Fund Raising: Assisting with and/or overseeing fund development issues
1 2 3 4 5 E_________________________________________________________
4. Program Focus: Program research and performance, program literacy
1 2 3 4 5 E__________________________________________________________
5. Legal: Lending professional knowledge regarding various legal issues
1 2 3 4 5 E__________________________________________________________
6. Marketing / Public Relations: Assisting with and/or overseeing public relations and marketing management, assisting staff to insure continuity of printed and electronic messages
1 2 3 4 5 E__________________________________________________________
7. Human Resources: Helping in the areas of personnel management
1 2 3 4 5 E__________________________________________________________
8. Strategic Planning: Nonprofit Planning (including strategic thinking and planning, scenario planning
1 2 3 4 5 E__________________________________________________________
9. Public Policy: Activism/advocacy for issues relating to domestic violence and sexual assault
1 2 3 4 5 E__________________________________________________________
10. Technology: Assisting with and/or overseeing information technology needs
1 2 3 4 5 E__________________________________________________________
Community Connections/Contacts:
Please let us know if you have contacts or connections with individuals in the following professional areas:
Religious organizations
Corporate
Education
Media
Political
Philanthropy
Small business
Social services
Health
Legal
Government
Other (specify)
Is there anything else you’d like to tell us to consider? _
_____________________________________________________________________________________________________________
Thank you for your interest in Project Unity USA!
Name ___________________________________________________________________________
Age Under 30 _______ 30-45 _______ 45-60 ______ Over 60 _______
Home Address: __________________ __________________________________________________
City ____________________________________ State____________ Zip___________________
Home Phone: (______)_____________________ Cell: (____)_____________________________
Fax: (______)____________________________
Race/Ethnicity/Disability: African-American/Black ________ Asian/Pacific Islander _______
Caucasian _______ Hispanic/Latino _______Native American/Indian _______Other _____________
Employer: ___________________________________________________________________________
Title: ___________________________________________________________________________
Work Address: _______________________________________________________________________
City __________________________________State__________________Zip___________________
Work Phone: (_________)__________________ Fax: (______)___________________________
Email Address: _______________________________________________________________________
Listed below are ways in which members can participate. We would like to know which activities most interest you either because you have experience and can lend expertise or because you have interest in and would like to develop your skills and knowledge in a particular area of member service. Rank your interest 1-5:
1 -indicates no interest, 5 –indicates great interest
Please indicate if you have a professional skill or practical experience in an area by providing a short explanation [E]
1. Administration/Management: Helping with the administrative efficiency of the organization
1 2 3 4 5 E__________________________________________________________
2. Finance: Assisting with specific financial aspects of the nonprofit
1 2 3 4 5 E_________________________________________________________
3. Fund Raising: Assisting with and/or overseeing fund development issues
1 2 3 4 5 E_________________________________________________________
4. Program Focus: Program research and performance, program literacy
1 2 3 4 5 E__________________________________________________________
5. Legal: Lending professional knowledge regarding various legal issues
1 2 3 4 5 E__________________________________________________________
6. Marketing / Public Relations: Assisting with and/or overseeing public relations and marketing management, assisting staff to insure continuity of printed and electronic messages
1 2 3 4 5 E__________________________________________________________
7. Human Resources: Helping in the areas of personnel management
1 2 3 4 5 E__________________________________________________________
8. Strategic Planning: Nonprofit Planning (including strategic thinking and planning, scenario planning
1 2 3 4 5 E__________________________________________________________
9. Public Policy: Activism/advocacy for issues relating to domestic violence and sexual assault
1 2 3 4 5 E__________________________________________________________
10. Technology: Assisting with and/or overseeing information technology needs
1 2 3 4 5 E__________________________________________________________
Community Connections/Contacts:
Please let us know if you have contacts or connections with individuals in the following professional areas:
Religious organizations
Corporate
Education
Media
Political
Philanthropy
Small business
Social services
Health
Legal
Government
Other (specify)
Is there anything else you’d like to tell us to consider? _
_____________________________________________________________________________________________________________
Thank you for your interest in Project Unity USA!