Micahs Place Domestic Violence Center Board Application
This application form is for individuals interested in serving on the Board of Directors at Micah's Place. It outlines the responsibilities and commitments involved. Completing this form is vital for understanding your potential role in supporting domestic violence survivors.
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How do I fill this out?
To fill out this application form, start by reviewing the responsibilities outlined for board members. Ensure you have all necessary personal information ready, such as your contact details and relevant experience. Complete each section with accurate and honest responses before submitting.

How to fill out the Micahs Place Domestic Violence Center Board Application?
1
Read through the entire application and board member responsibilities.
2
Gather your personal and professional information.
3
Answer all questions truthfully and accurately.
4
Sign and date the application.
5
Submit the completed application via post or email.
Who needs the Micahs Place Domestic Violence Center Board Application?
1
Individuals interested in joining the Board of Directors of Micah's Place.
2
Current members of the board who may need to submit updated information.
3
Community members looking to support victims of domestic violence.
4
Nonprofit professionals seeking board membership experience.
5
Organizations aiming to collaborate with Micah's Place for community service.
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What are the instructions for submitting this form?
To submit this form, please return the completed application to Micah's Place, Attention: Heather Jones, PO Box 16287, Fernandina Beach, FL 32034. Alternatively, you may email the completed form to hjones@micahsplace.org. It is important to ensure that all fields are filled out completely before submission to facilitate timely review.
What are the important dates for this form in 2024 and 2025?
The application process for board membership is open throughout the year. Specific deadlines for submission will be communicated via the Micah's Place website. Ensure to check back regularly for any announcements regarding recruitment events or informational meetings.

What is the purpose of this form?
The purpose of this application form is to identify and evaluate potential candidates for the Board of Directors at Micah's Place. It outlines the roles, responsibilities, and expectations for board members. By completing this application, candidates demonstrate their commitment to supporting the mission and vision of Micah's Place.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The applicant's full name.
- 2. Address: The applicant's current residential address.
- 3. Birthday: The applicant's date of birth.
- 4. Telephone: The applicant's contact number.
- 5. Email: The applicant's email address.
- 6. Company & Position/Title: Current employment information.
- 7. Number of Years with Present Company: Experience in the current position.
- 8. Number of Years Lived or Worked in Nassau County: Local residency or work experience.
- 9. Volunteer and Board Service: Information regarding past volunteer experiences.
- 10. Skills and Interests: Relevant skills that may benefit the board.
- 11. Signature: Confirmation of accurate information provided.
- 12. Date: Date of application submission.
What happens if I fail to submit this form?
If the application is not submitted, the individual will miss out on the opportunity to serve on the board. This may impact their ability to influence decisions and contribute to the mission of Micah's Place.
- Missed Opportunities: Failure to apply may result in a lack of involvement in community initiatives.
- Lack of Representation: Not applying means a missed chance to represent voices of domestic violence survivors.
- Limited Awareness: Without this application, efforts to raise awareness about domestic violence may diminish.
How do I know when to use this form?

- 1. Board Membership Application: Use this form to apply for a seat on the board.
- 2. Retaining Board Member Information: Current members should use this for updates and renewals.
- 3. Community Engagement: Ideal for community advocates wishing to support domestic violence efforts.
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How do I know if I am eligible to be on the board?
Review the criteria outlined in the application form regarding skills and experiences.
What if I have questions about the application?
You can reach out to the provided contact information in the application for further clarification.
Is there a deadline for submitting the application?
Please refer to the specific guidelines within the application form for deadlines.
Can I submit the form online?
Yes, you can submit your completed form via email as indicated in the instructions.