Get Involved - Decatur Land Trust

Section 1: Your Contact and Demographic Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Mobile Phone

Race & Ethnicity *

Gender Identity *

Age Range *

19-34
35-50
51-65
Over 65

Section 2: Your Background Information

Current Employment Status *

Employer Name (if employed)

Current Occupation or Professional Field

Years in your profession or current field

Please list your degrees and any professional certifications you hold (including the school)

Briefly describe your professional background

What other volunteer positions have you held?

Please provide your LinkedIN profile URL

Section 3: Mission Alignment

In what ways have you interacted with our organization before applying for the advisory board? *

Examples: committee member, housing task force, donor, ect.

Why is our mission important to you?

Why do you want to be on our community advisory board? *

Section 4: Governance

If you have served on a board before, please provide the organization name, dates of service and reason for leaving for the three most recent board positions. *

Do we have your permission to contact the organizations above to ask about your board service with them? *

Yes
No
Not Applicable

Each year, every board member is required to disclose any potential conflicts of interest associated with your service as a CAB member. Please describe any conflicts of interest you would need to disclose if selected to join the board: *

If selected to serve on the DLT Community Advisory Board, meetings are scheduled for the third Wednesday of each month 6:00pm-7:30pm. Are you available at this time? *

Note: Meeting times and days may be adjusted based on the responses collected from potential candidates.

Please check the times you are available for a virtual and/or in person board prospect meeting with the Executive Director and/or DLT Board Members: *

Tues. April 25th at 5:30pm
Tues. April 25th at 6:30pm
Tues. April 25th at 7:30pm
Weds. April 26th at 5:30pm
Wed. April 26th at 6:30pm
Wed. April 26th at 7:30pm
Sat. April 29th at 10:00am
Sat. April 29th at 11:00am
Sat. April 29th at 12:00pm

Please check no more than 3 options for your meetings time.