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VIP Agency Application
1
About the Agency
2
About the Board
3
Final Details
Agency Name
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Fax
Email
Website
About the Agency
Executive Director
Years at the Agency
Number of Staff (Full and Part Time)
Current Organizational Budget
Agency Mission
Briefly describe your agency’s programs and services.
Briefly describe your agency’s clients/constituents.
About the Board
Board Chair/President
Number of Board Meetings Annually
Number of Board Members
Term Limits
Number of Terms
Location of Board Meetings
Time of Day of Board Meetings
Committees
Meetings Per Year
Attendance
Is there an attendance policy?
Please Describe
Financial Requirements?
Are board members required to make financial contributions?
Please Describe
Special Requirements
Are there any other special requirements of board members?
Please Describe
How have board members been recruited in the past?
Describe the board’s nominating policies and procedures.
Describe the board’s orientation program and process.
Describe the relationship and interaction between the board and the executive director.
Untitled
Does your organization currently have Directors and Officers Insurance?
No
Yes
Describe your ideal board candidate, including skills needed.
Communication
Once we have a candidate, who should be notified?
Name
Phone
Who will interview the candidate?
Name
Phone
Please include the following, if available:
Board Roster
Including business affiliation and length of board service.
Promotional Brochures
Other materials that describe your agency’s programs and services
Form completed by:
Name
Title
Home
Give
What We Do
What We Do
Child Well-Being
Education
Income
Health
Homelessness
Basic Needs
Child Well-Being Impact Fund
Get Involved
Get Involved
Join a Group
Volunteer
Company Resources
Advocacy & Public Policy
Agency Partners
Funding Opportunities and Resources for Nonprofits
Community Investment Process
InForum Series
Salesforce.org Philanthropy Cloud
Events
Events
Volunteer Opportunities
Blog
Need Help?
