Board Nominations Thank you for your interest in serving on the 2022 Advancement Northwest Board of Directors. If you have any questions please feel free to reach out to the Advancement Northwest office at email@example.com or 360-734-3166. Nominee Contact InformationName* First Last Title Organization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*Were you encouraged by a colleague to self-nominate? Please include their name below. Board CommitmentAttendance at board meetings and programs is an essential part of board service. These are activities most board members engage in. If you are not able to commit to all of these or would like more information, we'd welcome additional conversation with you about the time commitment and expectations of board service.Please check all items that you will commit to.* I will attend at least four of six board meetings (2 hours, held virtually or in Seattle) I will attend the board retreat(s) (half or full day in spring/fall, in-person or virtual TBD) I will make a gift to the One Gift Campaign to the best of my ability I will attend at least two Advancement Northwest programs I will attend the Annual Conference (two days, in June, in-person or virtual TBD) I will attend the National Philanthropy Day celebration (November, virtual in 2021. 2022 TBD) I would like to further discuss the time commitment Board and AFP ExperienceAre you a current member of Advancement Northwest? (Note: board members are expected to be in good standing as AFP members)Are you a current member of Advancement Northwest?* Yes No My membership is in progress I'd like more information about member scholarship (Note: board members are expected to be in good standing as AFP members)Have you served on a committee or volunteered for Advancement Northwest?* Yes No Interested If you have served on a committee or volunteered, please list your engagement experience belowIf you are interested in joining a committee, please list your preferences below Do you have experience sitting on a board?* Yes No If you answered yes to having experience sitting on a board, please list the organization(s) below What special skills or networks will you bring to the Advancement Northwest Board?*Please list the Advancement Northwest Committees and/or projects you’d like to work on in 2022 (If you're unsure of the possibilities, it's ok!)*Nominee Demographics (Optional)Advancement Northwest is committed to the celebration and practice of diversity, equity, inclusion, and access. As such, the Committee on Directorship is seeking information from all nominees that we feel is vitally important in order for us to responsibly steward our Chapter goals. The following questions are completely optional, you can choose to skip them if you’d prefer not to answer. Personal Characteristics: Age Personal Characteristics: Gender Identification Other Race/Ethnic Background Language English is my primary language English is my second language What is your primary language? Sexual Orientation/Identity Gay Lesbian Bisexual Transgender Queer Heterosexual Other (please specify below) Other Sexual Orientation/Identity Please let us know if you require ADA accommodations below. Professional Credentials (select all that apply)Advanced Certified Fundraising Executive (CFRE)Chartered Advisor in Philanthropy (CAP)Certified Public Accountant (CPA)Certified Specialist in Planned Giving (CSPG)Masters in Business Administration (MBA)Master of Social Work (MSW)Other (please specific below)Other Professional Credentials Geographical Location (select all that apply)Seattle/King CountyEastsideNorth Puget SoundSouth Puget SoundEast of the CascadesOther (please specify below)Other Geographical Location Does the organization you work with serve an underrepresented population? Yes No Racial equity is important to us and we aspire to do our work through an anti-racist approach. Please share how you have engaged in anti-racist work or self-learning and how you would apply this lens to our work on the AdvNW board.