Board Member Application Form

Personal Information

Full Name Email Address Phone Number

Professional Background

Current Occupation / Job Title Organization / Employer Briefly describe your professional experience relevant to STEM education

Board Experience (if any)

Outline any previous or current board or leadership experience

Personal Motivation

Why do you want to serve on the board of this STEM education nonprofit?

Skills & Areas of Expertise

Please highlight any areas of expertise you would bring to the board

References

Reference #1 (Name, Relationship, Contact Information) Reference #2 (Optional)