Board Member Application

Rod’s House is committed to diversity and inclusion. To better serve young people experiencing homelessness and to reflect who we are here to serve, we encourage people with lived experience of homelessness and all people of different race and gender to apply to join our Board of Directors. All qualified applicants will receive consideration.

Mission: Rod’s House builds authentic connections with young people, supports them in feeling respected and secure in who they are, empowers them to reach their full potential, and positively connects them to the community.

Vision: Rod’s House envisions an END to youth homelessness in the Yakima Valley. To break the cycle of homelessness we will engage volunteers, donors, and the community to ensure young people’s basic human needs are met and that they have a safe, stable home; permanent, positive connections; meaningful education and employment opportunities; behavioral and physical healthcare; and supports that reinforce their individual abilities.

Name *

First

Last

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Racial or Ethnic Identity *

Gender Identity *

Phone *

Email *

Work Address *

Address Line 1

Address Line 2

City

State

Zip Code

Birthdate *

Preferred Pronouns *

Employer *

Occupation *

Educational Background *

Current or Recent Board Memberships (include last 2 years) *

Your applicable experience to Board Membership *

Volunteerism and/or Social Service Org Experience: *

Are you aware of any actual or potential conflicts of interest that might arise from your service on the Rod's House Board of Directors? *

Yes
No

Please explain your reason for wanting to serve on the Rod's House Board of Directors *

Sponsor Name *

First

Last

Signature

Clear Signature

Board Member Application

Board Member Application

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