SFMB Board Member Application

We are grateful for this opportunity to get to know you better, as you consider joining the Board of Directors for Set Free Monterey Bay. Please complete the application below and one of our board members will be in touch with you shortly to schedule your interview.

All information in this application is confidential.

Your name *

Last name

Email address *

Phone number *

Phone type

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Gender

Best Contact Time

When are you available to begin serving on the SFMB Board of Directors? *

How much time are you willing to commit to serving as an SFMB Board member? *

Board member Terms are typically two years in length. Board member responsibilities include, but are not limited to: attendance at monthly Board meetings, service on a committee, attendance at regularly required trainings and presentations, and representation of SFMB at community events.

2 years

1 year

Temporary (6 months or less)

Why would you like to serve on the SFMB Board of Directors? *

Education & Training

High School Name

High School Location

High School Degree *

Business/Technical School Name

Business/Technical School Course of Study

Business/Technical School Degree

College/University Name

College/University Location

College/University Course of Study

College/University Degree

Post Graduate School Name

Post Graduate School Location

Post Graduate School Course of Study

Post Graduate School Degree

Please share about any additional certificates or licenses you have.

Employment: Current Employer

Current Employer: Company Name

Current Employer: Phone Number

Current Employer: Address

Current Employer: Position Held

Current Employer: Dates of Employment

Current Employer: Supervisor Name

Employment: Previous Employer

Previous Employer: Company Name

Previous Employer: Phone Number

Previous Employer: Address

Previous Employer: Position Held

Previous Employment: Dates of Employment

Previous Employer: Supervisor

Military and/or Law Enforcement Service

Have you served in the U.S. Armed Services?

Yes

Are you still active duty or have you been discharged?

Active Duty

Discharged

Other

Have you served in any local, state, or federal law enforcement agency?

Yes

History & Experience

Have you ever been convicted of a criminal offense?

Yes

Are you currently on probation or parole?

Yes

Have you ever been charged, convicted of, or pled guilty to a crime, either a misdemeanor or a felony (including but not limited to drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle violations)?

Yes

Do you have any physical or emotional conditions that might keep you from safely and effectively working with SFMB?

Yes

Are you currently a volunteer or ambassador of Set Free Monterey Bay?

Volunteer

Ambassador

Neither

Do you currently attend a church?

Yes

Describe any prior or current experience serving at the Board level. *

Please include the name of the organization, the number of years served, whether you served as an officer or in any other official capacity, and the approximate amount of time you served on a monthly basis.

Describe any other prior or present memberships/affiliations you have with non-profit organizations. *

Please include the name of the organization, the scope of your involvement, and your approximate time commitment to the organization on a monthly basis.

List any other experience, certifications, or other training relevant to serving on the SFMB Board of Directors. *

Briefly describe your relationship with God. *

Briefly describe your understanding of Human Trafficking. *

Reference #1

Reference #1: Name *

Reference #1: Relationship *

Reference #1: Phone Number *

Reference #1: Email Address *

Reference #1: Occupation *

Reference #2

Reference #2: Name *

Reference #2: Relationship *

Reference #2: Phone Number *

Reference #2: Email Address *

Reference #2: Occupation *

Reference #3

Reference #3: Name *

Reference #3: Relationship *

Reference #3: Phone Number *

Reference #3: Email Address *

Reference #3: Occupation *

Applicant Statement

I certify that this application was completed by me and that all of the information on this application is true and correct to the best of my knowledge. I authorize any references, churches, or organizations to release information to Set Free Monterey Bay and I release all such references from liability for any damage that may result from furnishing such evaluations, and I waive any right that I may have to inspect references provided on my behalf. I hereby give Set Free Monterey Bay permission to contact my references and government agencies. Should my application be accepted, I agree to follow the policies of Set Free Monterey Bay and to refrain from immoral or unethical conduct in the performance of my service on behalf of this organization.

I have read and agree to the Applicant Statement above. *

Consent to Background Check

This form authorizes Set Free Monterey Bay (SFMB) to obtain background information and must be completed by the applicant.

I, the undersigned applicant, authorize Set Free Monterey Bay through its independent contractor, to procure background information (also known as a “consumer report/or investigative consumer report”) about me. This report may include my driving history, including any traffic citations: a social security number verification; present and former addresses; criminal and civil history/records; and the state sex offender records.

I have read and agree with the 'Consent to Background Check' statement above. *

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Set Free Monterey Bay
connect@setfreemontereybay.org
831-204-1334