Board Member Application

Personal Information

Name(Required)

First Last

Preferred Name

Email(Required)

Phone(Required)

Address(Required)

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

Occupation

Brief Personal Introduction

Tell us a little about yourself.

Interests & Qualifications

Why are you interested in serving on the Board of Rianna's Voice?(Required)

What does teen dating violence prevention mean to you personally?(Required)

Describe any nonprofit, volunteer, leadership, or board experience you have.

Which areas would you be interested in helping with?

If "Other," please explain.

What skills, experience or connections would you bring to Rianna's Voice?

How would you help expand awareness of Rianna's Voice in the community?

Board Participation Expectations

Are you able to attend regular board meetings?(Required)

Yes

Maybe

Are you willing to actively participate in fundraising efforts?(Required)

Yes

Maybe

Are you comfortable publicly representing Rianna's Voice at events or meetings?

Yes

Maybe

Are you willing to assist with event setup and breakdown when needed?

Yes

Maybe

Approximately how many hours per month can you commit?

What does being part of a working board mean to you?

Describe a time you worked through disagreement within a team or organization.

Professional References

Reference #1

First Last

Reference #1 Relationship

Reference #1 Phone

Reference #1 Email

Reference #2

First Last

Reference #2 Relationship

Reference #2 Phone

Reference #2 Email

Additional Information

Do you currently serve on any other nonprofit boards?

Yes

If yes, please list organizations and roles held.

Please disclose any potential conflicts of interest that could affect your service on the board.

Applicant Acknowledgment

I understand that serving on the Board of Directors of Rianna’s Voice is a volunteer leadership position requiring professionalism, confidentiality, active participation, and support of the organization’s mission.

I certify that the information provided in this application is accurate to the best of my knowledge.

Do you consent to being photographed or featured in organization social media and promotional materials?

Yes

Do you consent to reference checks if necessary?

Yes

Digital Signature/Typed Full Name(Required)

First Middle Last Suffix

Date Field(Required)

Who Are You?(Required)

Your First Name

Email(Required)

Phone

Preferred Contact Method(Required)

Text

Phone Call

No preference

Are You Currently in a Relationship?

Yes

How Can We Support You Today?(Required)

Share as much or as little as you feel comfortable. We are here for you.

Is anyone in immediate danger?

Yes

Please call 911 or a crisis hotline immediately.
National Domestic Violence Hotline: 1-800-799-7233
Text LOVEIS to 22522

Best Time to Contact You

Consent(Required)

I understand that Rianna's Voice is not a crisis hotline and response times may vary.

Thank you for supporting Rianna’s Voice with an in-kind donation! Please complete the form below, and a member of our team will contact you with next steps.

Name(Required)

First Last

Business/Organization (if applicable)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Donation Type

Gift Card

Gift Basket

Tickets/Experience

Merchandise/Product

Service (salon, fitness, photography, etc.)

Other (please describe)

Description of Item/Service(Required)

Estimated Fair Market Value(Required)

This will help us provide you with an acknowledgment letter for tax purposes.

Preferred Delivery Method(Required)

I will drop off my donation.

Please contact me to arrange pickup.

I will mail/ship my donation.

Preferred Delivery Date

Additional Notes

Acknowledgment Permission

I give Rianna’s Voice permission to publicly recognize my donation (name/business) in event materials.

Name(Required)

School/Organization(Required)

Position/Role

Email(Required)

Phone(Required)

Program Requested(Required)

School presentation

Support group program

Self-defense workshop

Parent workshop

Estimated number of students/participants(Required)

Preferred Dates

Message/Additional Details(Required)

Consent

I understand that a confirmation email will be sent after availability is reviewed.