Search for:
Phone: (309) 827-0377
Employment
Get Involved
Contact
Home
About
News
Events
Youth
Application
Youth Overview
Get Help Now
Resources and Referrals
Youth Empowered Schools (YES)
Youth Action Board
Avoiding Drugs
Youth F.A.Q.
Suicide Prevention
Parents
Application
Parent Consent Form
Parents Overview
Get Help Now
Prevention and Education
Parents Forever
Youth Empowered Schools (YES)
Parents F.A.Q.
Suicide Prevention
Application
DONATE
Get Help Now
Board of Directors Recommendation/Application Form
Board of Directors Recommendation/Application Form
Name
*
First
Last
*
Last
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
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
State/Province
Zip/Postal
Zip/Postal
Email
*
Employer
*
Skills, Expertise and Interest (Check all that apply):
*
Finance, Accounting
Personnel, Human Resources Administration, Management Nonprofit Experience
Community Service
Policy Development
Marketing, Public Relations
Public Relations, Communications Education, Instruction
Special Events
Grant Writing, Editing Fundraising
Outreach, Advocacy
Strategic Planning
Social Media
Technology
Personal Connection to Mission Lived Experiences
Other
Other
Detail Any Specific Experiences Which Support or Advance Project Oz’s Mission (“We partner with young people to build a foundation that promotes safety, opportunities, and well-being in their lives.”)
*
Current and Past Leadership or Board Involvement (including dates of service):
*
Resume/Bio (optional):
Drop a file here or click to upload
Choose File
Maximum file size: 2.1MB
If you are making this Recommendation on behalf of someone other than yourself:
Date:
*
Full Name
*
Position/Title
*
Email/Phone
*
Signature
*
signature
keyboard
Clear
SUBMIT
If you are human, leave this field blank.