Board of Directors SurveyAre you an artist or active community member interested in joining our board of directors? Please fill out the form below to express your interest in helping to further our mission supporting artists in our community. Name * First Name Last Name Email * Website http:// Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Occupation Personal Background What skills or education could you contribute? Please check all that apply Accounting Budget Fundraising Marketing Planning Special Events Legal Lobbying Management Public Speaking Community Events Education Other Artistic Background What is your artist practice or background? Visual Arts Literary Arts Performing Arts Multimedia Arts Other Current boards, clubs, or other affiliations: Past boards, clubs, or other affiliations: Charitable or community activities in which you have been involved with: Your ability to serve Can you regularly attend board meetings held once a month in person or via Zoom: Yes No How many hours per month, in addition to board meetings, can you serve? Potential conflicts, if any: Would you be willing to chair a committee? Yes No Your views on our organization: How did you become interested in the Deep Valley Arts Collective / MEDIUM Art Gallery? How will your involvement help this organization? Please write a brief statement of your understanding of our mission: List special skills or talents that you like to do and would enjoy sharing: List areas you would like to learn more about and participate in: List anything you do not want to be asked to do as a member of the board: Is there anything else that you would like us to know? Thank you for your interest. We will be in contact with you soon.