Boardroom | The Foundation for Northwest Illinois

GENERAL / CONTACT INFORMATION

CONFIDENTIAL, NOT FOR PUBLIC USE

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Work Phone(Required)

Primary Phone(Required)

COMMITMENT DOCUMENTS

Letter of Commitment

I understand that my role with The Foundation for Northwest Illinois is a significant responsibility. I will prioritize my involvement and look forward to working with this team. I will:

• Support the Mission, Vision, Values and Goals of the Organization.
• Offer my expertise to help ensure the health and success of the organization.
• Work with other staff and board members to communicate the organization’s role to our most important audiences.
• Actively participate in requests for my assistance.
• Commit to legal compliance (Articles of Incorporation, By-laws, all federal and state regulations).
• Commit to the best interests of the organization as a whole.
• Commit to attend 80% of key events, annually.
• Commit to attend 80% of board meetings, annually.

I have read and fully agree to this Letter of Commitment and look forward to assisting the organization in this role.

Name(Required)

First Last

Date(Required)

Profile

Age Range(Required)

Race / Ethnicity(Required)

Education Level(Required)

Personal / Professional connections within the region(Required)

Other (please elaborate)

Your Areas of Expertise / Influence(Required)

Your Professional Bio(Required)

FOR PUBLIC USE. PLEASE EMAIL YOUR PHOTO TO SARAH@FORNWIL.ORG

Confidentiality Agreement

For Board of Directors, Employees, and Volunteers I acknowledge and agree that all confidential information and/or grant files, contribution files, donor records, donor lists, charitable gift information, resource development data, manuals, letters, contracts, agreements, notes, notebooks, records, reports, memoranda and all of FNWIL materials, documents and data used, prepared or collected as part of my work, in whatever form, are and will remain the property of The Foundation for Northwest Illinois. Accordingly, I agree that at the end of my relationship with The Foundation for Northwest Illinois, I will destroy or return all Foundation documents and other materials of any kind which constitute or contain any confidential information, in my possession or control, regardless of how stored or maintained, including all originals, copies and complications and all information stored or maintained on computer, tapes, discs, e-mail or any other form of technology. I agree to maintain confidentiality, as outlined above, to the best of my ability in my role as a volunteer or employee.

Name(Required)

First Last

Date(Required)

I am a:(Required)

Conflict of Interest Statement

Business & Professional Activities(Required)

Business & Professional Activities in which I or an immediate family member (spouse, parents, sibling, or child) is an owner, officer, board member, partner, employee or other beneficiary position. List Business/Organization(s), name of position held and by whom:

Nonprofit Associations(Required)

Other nonprofit organizations with which I or a family member is associated, and which might reasonable expect to apply for a grant from The Foundation for Northwest Illinois. List Organization(s), name of position held and by whom:

Other Activities(Required)

Please list other activities which may produce or be construed as a possible conflict of interest. Indicate N/A if none.

Name(Required)

First Last

Date(Required)