SRC Prospective Board Member Application

Please complete the following online application. If you have any question and concerns, please call 785-842-0543 or contact us via email.

Mailing Address

Is your home address different from your mailing address?

Home Address
How do you currently spend your time? Examples are employment, volunteer activities, etc.
If you are retired, what did you do before retirement?

Have you served on other nonprofit boards of directors?

Please share the organizations' name(s), the dates of your board service, and any offices or special tasks you volunteered for.

Are you currently a member of any organizations, such as social or civic?

Please share the organization name(s)

Do you have a relationship (family, friend, colleague, neighbor, etc.) to any current board members or SRC staff?

Please share the name(s) and nature of your relationship(s)

Key Questions

Please answer the following:
How did you become aware of the SRC?

Have you participated in SRC activities or events?

What skills, talents, or experiences do you bring to the Friends of the SRC Board of Directors?
Why do you want to become a Friends of the SRC Board Member?