One moment please...
Board Member Information - The Literacy Cooperative
Your Name
*
Prefix
First Name
Last Name
Suffix
Spouse/Partner
Prefix
First Name
Last Name
Suffix
Race/Ethnicity
*
Asian / Asian American
Black / African American
Hispanic / Latino / Latina / Latinx
Middle Eastern / North African
Native American / American Indian / Alaskan Native / Indigenous
Native Hawaiian / Pacific Islander
White / Caucasian / European
Multi- racial / Multi- ethnic (two or more races or ethnicities)
Prefer to identify with another race or ethnicity
Unknown or Decline to State
Gender
*
Male
Female
Transgender
Gender Nonconforming
Prefer not to answer
Birthdate (month/day)
Home Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Personal Email
*
Verify Email
*
Personal Phone
*
Organization/Employer
*
Job Title
Work Sector
*
Accountant
Consultant
Corporate
Financial
Government
Healthcare
Legal
Non-profit
Other
School
Work sector other
Work Email
*
Verify Email
*
Work Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Responsibilities of current position
*
Area(s) of Expertise
*
Please select at least one of the options below.
Arts
Business Leader
Civic Volunteer
Community Development
Education
Entrepreneur
Fundraising
Health
Human Services
Investment/Finance
Legal
Marketing/Communications
Media
Religious Leader
Other
Leadership experience (describe level, depth and breadth as well as sphere of influence)
*
Educational Attainment
*
High School or High School Equivalency
College Degree
Masters
Doctorate
Accomplishments
*
Personal skills, characteristics and interests
*
Other board experience/other affiliations
*
Why would like to join The Literacy Cooperative Board of Trustees and why are you passionate about literacy?
*
Resume Upload
*
