Board Profile for Organizations Please register below if your organization would like to apply for a board member from Leadership Arts. Name of Organization:*Contact Name:*FirstLastContact Title:*Organization Address:Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeEmailPhoneFaxWebsiteMission Statement:*Do you currently have the following on file and available if needed?IRS Letter of DesignationIRS Form 990Audited Financial StatementsBoard of Directors ListAnnual BudgetMaximum Size of Board per Bylaws:*Number Currently Serving on Board:*Date Nomination Process Begins:Board Year Begins:Time commitment required/recommended for each board member:*Financial commitment required/recommended for each board member:*Length of terms:What is the budget size of your organization?$25,000 to $49,999$50,000 to $99,999$100,000 to $249,000$250,000 to $499,999$500,000 to $749,999$750,000 to $999,999$1,000,000 to $1,999,999$2,000,000 and up Sources of Income:*How many full time and part time employees are on your staff?What year did your organization achieve its official nonprofit status (501c3)?Date of most recent audited financial statement:Last date of IRS Form 990 filing:In terms of development, how would you describe your agency?Start-UpGrowthEstablishedUndergoing Major TransitionCrisisWhat are the principal skills/expertise you are seeking for your board?Names of Leadership Arts Institute graduates currently serving on your Board of Directors:Additional Comments or Requests to BCA:Please print a copy of this application for your records. To submit this information, click the "Submit" button below.
