Board Application

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Spouse (if applicable)

Occupation*

Educational Background*

Experience

How did you first become aware of Lifeline?*

What makes you interested in volunteering with the Lifeline Board of Directors?*

Describe current or past positions of service at nonprofits or ministries*

Include any past board experience

What gifts, talents, or traits would you bring to this ministry?*

How do you handle conflict with others?*

How many hours per month are you willing and able to devote to Lifeline?

To the extent of your current knowledge, what is your vision for Lifeline?*

Personal Faith

How did you come to know Christ as your personal Savior and Lord?*

How has your life changed since your personal relationship with Jesus Christ began?*

What church do you attend?*

Describe your church involvement, including any positions held or services performed

References

Please list the names of two people we may contact for references for becoming a Board Member of Lifeline.

Name*

First Last

Phone*

Email

Name*

First Last

Phone*

Email

Pastoral Reference

Please provide the name of a pastor or leader at your church that we may contact as a reference for becoming a board member of Lifeline

Name*

First Last

Phone*

Email

Name

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