Board Member Application

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ICT SOS envisions a community free of human trafficking. Our mission at ICT SOS is to end human trafficking through prevention and awareness education; advocacy for survivors; and acting as a bridge between direct service professionals and community members who desire to help. This form is to serve as an electronic application to join the ICT SOS Board of Trustees. Please complete the form, and reach out to the Board of Trustees Chair with any questions.

Board applicant name, pronouns*

Email*

Phone*

Your Address

Street Address Address Line 2 City State ZIP Code

LinkedIn profile link*

Current position (title/role)*

Current Employer*

Employer Address

Street Address Address Line 2 City State ZIP Code

Please check area(s) of expertise/contribution you feel you can make to further our mission:*

Please select what sector you serve in:*

If you selected nonprofit, please check your organization’s primary service area:

Current Organization's Budget:

How familiar are you with ICT SOS? Please share any experience or exposure to the organization you have.*

Please also list any close personal relationships or connections to the organization here.

Please list prior experience serving as a board member for other nonprofit organizations.*

What other volunteer commitments do you currently have?*

Have you ever worked for ICT SOS?*

If yes, when? (Please list approximate start and end date)

Do you have any known conflicts of interest, or any beneficial interest in the business of ICT SOS or its vendors or community partners?*

**Answering yes to this question does not exclude you from joining the Board of Trustees. Per our bylaws and state and federally funded grant terms we must have all conflicts or beneficial interests of our fiduciaries disclosed.

If yes, please list those potential conflicts or beneficial interests:

Are you related to anyone currently employed by ICT SOS, or serving on the ICT SOS Board of Trustees?*

If yes, please list those employees or Board members and your relationship to them:

Would you be able to fulfill the ICT SOS Board Commitments if elected to the board?*

What additional questions do you have?

Please share any other information you feel important for consideration for your application as a board candidate.

By submitting this application, I affirm that the facts set forth in it are true and complete.*

I agree

Electronic Signature (Please type your name in the box):

Board Member Application

ICT SOS Board Application