Board of Directors Nomination Form – The Artists Collective

Nominee’s Name:

Organization:

Position/Title:

Information (phone, email):

Current Artists Collective Member?

Yes

No

Don’t Know

Demographic Information ( circle those that apply):

Age group:

under 30

30-45

46-60

Over 60

Gender:

Female

Male

Ethnicity:

Residence:

Hartford

Suburbs (east of river)

Suburbs (west)

Other Non-Profit/Board Experience:

Other Affiliations and/or Civic Engagements:

Any Known Artistic Interests and/or Talents:

Candidate Qualities
Sector Affiliation

Please check () all that apply:

General Questions

How did this candidate come to your attention?

Is there a specific board “gap” you think this candidate can fill well and why?

On which standing or advisory committee(s) would this candidate be well suited to serve?

Have you had any discussion with this candidate

Yes

No

and, if so, do you think this candidate understands and will commit to the following board expectations? [Please check ()

Be committed to the vision, mission, and goals of the organization – esp. reaching out to children and at-risk youth through arts education and raising awareness/appreciation for the culture of the African Diaspora and for jazz as truly American art form

Be multi-culturally competent and sensitive

Actively participate in governance and serve as an ambassador for the Artists Collective in our community

Stay fully informed about the organization, its policies, programs, finances, activities, and plans

Attend board meetings, performances, and other events

Bring guests to performances and in other ways support friend development as a strategic priority

Make an annual financial contribution, invite contributions SIGNATURE from other individuals, and leverage connections with organizations to encourage their support