BOD Application – LIMM.org

Board of Directors Application Form

Name
First Last Credentials
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email
Occupation*
Educational Background*
Birthdate*
MM slash DD slash YYYY
Spouse's Name
How did you first become aware of Lutherans in Medical Missions?*
What makes you interested in working with LIMM on the Board of Directors?*
Describe both current and past positions held or services performed for other non-profit organizations and ministries?*
What gifts, talents, experiences, or personality traits would you bring to this ministry?*
Have you ever been on the board of directors for a non-profit organization?*
- Yes
- No
Please describe the position you held previously.*
How do you handle conflict with others?*
How many hours per month are you willing and able to devote to LIMM?*
Are you able to commit yourself to serve on the LIMM Board of Directors for the normal term of 3 years with the possibility of an additional term with Board approval?*
If you are married, is your spouse supportive of your application to LIMM’s Board of Directors?*
Do you agree with the mission statement of LIMM?*
To the extent of your current knowledge of LIMM, what is your vision for the ministry?*
Do you have an active and personal relationship with Jesus Christ in both Word and prayer?*
Please provide the following information about the church to which you belong.
Church Name*
Church Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Denominational ties*
How long have you been involved in your church?*
Describe positions you have held or services performed within the church*
Please list the names and addresses of two people, other than your pastor, whom we may contact for references for becoming a board member of LIMM*
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Board of Directors Application Form

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