W&M Wesley Board Interest Form
Please fill out this form and click submit.
About You
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
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NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone (Mobile)
*
Phone (Work/Home)
Church Background
Current Church Membership
*
Current Church Activities/Groups
*
Occupation
Current or Previous Occupation(s)
*
W&M Affiliation
Are You a W&M Wesley Alum?
*
Please select all that apply.
Yes
No
If yes, when did you graduate or attend?
If yes, did you participate in the Wesley Foundation?
W&M Wesley Board
Have you previously served on this board?
*
Please select all that apply.
Yes
No
If yes, when did you serve?
Why are you interested in serving on this board?
*
What areas of expertise or contributions do you feel you can make to the board?
*
What teams or areas are you interest in serving on?
*
Please select one option.
Development (assist in generating financial support for the ministry)
Finance (assist in preparing the financial plan and annual budget)
Hospitality (help to organize support for our special Wesley events/dinners)
Missions & Service (work with our chuch, community and campus partners in planning and organizing activities)
Outreach (prepare communications to
Nominations (recommend new board members and officer/committee chairs)
Personnel (responsible for developing personnel policy and facilitation annual evaluations)
Planning/Evaluation (assist in developing and measuring progress toward annual goals)
Property (oversee the building and property maintenance)
As Needed
Applicant Signature
*
Date
*
Submit
Description
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