PO Box 53
Frankfort, MI 49635
Phone: 231-399-0300
Email: info@benziehabitat.org

Prospective Board Member Application

Please complete the application as completely and accurately as possible. Your information will be kept confidential.

Board Member Application

General Information

First Name *

Last Name *

Birth Date *

Email *

Phone *

Address *

Address

Address

Address

Address

Address

Address

Relevant Background and Experience

Are you an Armed Serviced Veteran? *

Yes

No

Current and Past Occupational Experience *

Skills or areas of expertise you will bring to the Board *

Educational Background *

Special vocational interests, hobbies, or personal talents *

Current and past involvement in community activities or organizations (church, civic, charitable, etc) *

Previous Habitat responsibilities or activities, if any

Criteria for Board Membership

Commitment to Benzie County Habitat’s mission, covenant, and quality assurance standards
Regular attendance at Board meetings and willingness to serve on at least one Board Committee
Agree to Criminal Background Check

Authorization

Signature *

Date

If you are human, leave this field blank.

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