Agency Request for Project Blueprint Graduates

1. Organization

Organization

Address

Suite

City

State

Zip

CEO/Executive Director

Email Address This question requires a valid email address.

Phone Number

Board President

2. Website

3. Please upload a copy of your IRS 501(c)3 determination letter. Nonprofits that have been in business for less than three years do not meet our requirements.

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4. Mission Statement

5. Budget Size $

6. Number of Staff

7. Number of Board Members - Nonprofits that have less than three board members do not meet our requirements.

8. Board Recruitment Cycle

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

9. Please UPLOAD a copy of Directors & Officers insurance binder. Nonprofits without Directors & Officers insurance do not meet our requirements.

File: {{filename}} delete

10. What type of candidates are you recruiting?

11. How often does your board/committee meet?

Please enter an 'other' value for this selection.

12. Does your agency require a time commitment outside of the regular meetings for Board members?

13. If Yes, how many hours per month?

13. Does your agency require a time commitment outside of the regular meetings for Committee members?

14. If Yes, how many hours per month?

14. Does your agency require a minimum financial contribution?

15. If Yes, what is the amount?

15. Does your organization currently have a new board/committee member orientation program for incoming board/committee members?

Space Cell	Yes	No
Board	Board: Yes	Board: No
Committee	Committee: Yes	Committee: No

16. Does your organization have a board manual?

17. Does your organization have a committee manual?

18. What are the terms of office for board/committee members?

Board (Years)
Committee (Years)

19. Please briefly explain your board nominating process:

20. How many members are looking to recruit?

Board
Committee

21. From the following list, please prioritize the top THREE SKILLS needed. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Advocacy Skills
Facilitation
Finance/Accounting/Budgeting
Fundraising
Human Resources
Legal
Marketing
Program Development
Public Relations
Strategic Planning
Technology
Training
Volunteer Management
Web Design
Written Communication

22. From the following list, please select the area of town where meetings are most likely to take place:

23. Please indicate your interest in any specific candidate(s).