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Board of Directors Application

The Nominating Committee developed this application questionnaire to assess candidates for nomination to the AIUSA Board of Directors. Each question should be answered as thoroughly as possible.

This application, a résumé or curriculum vitae, and an optional cover letter should be submitted by 11:59pm ET September 13, 2024.

If you have questions, contact any member of the Nominating Committee, listed below:

Grace Eickmeyer, Midwest Representative and Committee Co-Chair – [email protected]
Yasmin Elgoharry, Northeast Representative – [email protected]
Natalie Koletar, Youth Representative – [email protected]
Emily Palmer, South Representative – [email protected]
Lora Randa, West Representative and Committee Co-Chair – [email protected]
Deanna Wilken, Mid-Atlantic Representative – [email protected]
To Be Determined, At-Large Representative

Step 1 of 2

50%

Name(Required)

First MI Last

Pronouns(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone (day)(Required)

Phone (evening)(Required)

Email(Required)

Describe your relationship with AIUSA, including commitment to the mission and core values of AIUSA. How would you plan to continue or increase your commitment as a Board Member? If you have not yet been involved with AIUSA, please explain why you are interested in joining AIUSA.(Required)

What has motivated you to apply for the AIUSA Board at this time? Please explain what specific strengths and experiences you hope to contribute to the organization, as well as what you hope to gain from Board service.(Required)

Please rank the below areas of Board work according to your interest.
(1 – most interested, 6 – least interested)

Audit(Required)

Finance(Required)

Fundraising(Required)

Governance & Organizational Policy(Required)

Membership & Movement Engagement(Required)

Strategy & Planning(Required)

Why do the top two above selected areas of board work interest you and what are your specific skill sets and experiences in these areas?(Required)

The Nominating Committee is interested in helping to build a diverse, inclusive, and equitable AIUSA. Based on your experience, knowledge, identity, or other factors, please tell us how your election to the Board would help further our efforts in that regard. Please also explain how you will contribute to driving a culture of diversity, equity, and inclusion in our organization in your role as a board member.(Required)

Board members spend an average of 10 hours a month to fulfill their duties and responsibilities. This includes:(Required)

– Full Board meetings held over two-and-a-half-days (Friday evening through Sunday afternoon) held on a quarterly basis.
– Committee meetings typically held monthly on weeknights.

Check this box to confirm you can fulfill board requirements.

Please share any other information you feel is important for consideration of your application.

References

Please provide four (4) references the Nominating Committee can contact to discuss your candidacy. Ideally, two (2) of the references are within Amnesty International and two (2) are outside of Amnesty International. If you are new to the organization, all 4 references can be external.
Note: If you are a current board member, one of your references must be the current board chair.

First Reference

First reference name(Required)

First Last

First reference role/occupation(Required)

Your relationship with the first reference(Required)

First reference email(Required)

First reference phone number(Required)

Second Reference

Second reference name(Required)

First Last

Second reference role/occupation(Required)

Your relationship with the second reference(Required)

Second reference email(Required)

Second reference phone number(Required)

Third Reference

Third reference name(Required)

First Last

Third reference role/occupation(Required)

Your relationship with the third reference(Required)

Third reference email(Required)

Third reference phone number(Required)

Fourth Reference

Fourth reference name(Required)

First Last

Fourth reference role/occupation(Required)

Your relationship with the fourth reference(Required)

Fourth reference email(Required)

Fourth reference phone number(Required)

Demographic information (optional)

Privacy Disclaimer: The following questions reflect Amnesty International USA (AIUSA’s) commitment to Inclusion, Diversity, Equity, and Accessibility (IDEA). These questions are optional and responses will help AIUSA measure its progress on its IDEA goals. Please answer as truthfully as possible. There are no right or wrong answers. Reported data will be in aggregate format with no disclosure of personally identifiable information. Thank you!

Please Note: Gender, race, ethnicity, as well as other demographics impact how a person sees and is seen by the world. Therefore, socio-cultural experiences can vary depending upon these characteristics. It is important that we understand the socio-cultural experiences members have, to ensure that we are providing equitable service to the populations we serve. AIUSA acknowledges that the categorization of some of the demographics below may not be fully reflective of your identity.

How would you describe your gender identity or gender expression?

Please select the option that best describes your gender identity:

Genderqueer or genderfluid: A person whose gender identity and/or expression may not correspond with social and cultural gender expectations, or that varies over time

Cisgender Female: A woman who was assigned female at birth and identifies as a woman

Cisgender Male: A man who was assigned male at birth and identifies as a man

Non-binary: A person who does not identify with the binary definitions of either “female” or “male”

Transgender Female: A woman whose gender identity does not correspond with their sex assigned at birth

Transgender Male: A man whose gender identity does not correspond with their sex assigned at birth

I prefer not to answer

I prefer to self-describe

Prefer to self-describe:(Required)

How would you describe your racial/ethnic identity?

Please select the option that best describes your racial and ethnic identity:

African American–For example, African Diaspora, Jamaican, Haitian, Nigerian, Ethiopian, Black.

Asian–For example, Asian American, Chinese, Filipino, Indian, Pakistani, Vietnamese, Korean, Japanese.

Hispanic or Latin origin–For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian.

Indigenous–For example, American Indian, Alaska Native, First Nations, Native Hawaiian, Aboriginal and Torres Strait Islander peoples.

Middle Eastern or North African–For example, Arab American, Lebanese, Egyptian, Syrian, Moroccan, Algerian, Iraqi, Somalian, Sudanese.

Pacific Islander–For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese.

White–For example, European American, German, Irish, English, Italian, Polish, French.

Mixed race and ethnicity

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

How would you describe your sexual identity?

Please select the option that best describes your sexual identity:

Asexual

Bisexual

Gay or lesbian

Pansexual

Straight/heterosexual

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

Do you identify as a person with a disability?

Yes

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

Are you a veteran?

Yes

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

Which one best describes your educational background?

Some high school, no degree

High school degree or equivalent (e.g. GED)

Some college, no degree

Associate degree or equivalent

College degree, Bachelor degree or equivalent

Professional degree

Master’s degree or equivalent

PhD or equivalent

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

Are you a parent or otherwise a caregiver to dependents?

Yes

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

What is your age?

16 or younger

17-25

25-29

30-39

40-49

50-59

60 – 69

70 – 79

80 or older

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

How would you describe your religious identity?

Atheist/agnostic

Buddhism

Christianity

Hinduism

Islam

Judaism

Sikhism

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

What region of the United States do you live in?

Mid-Atlantic – for example, Washington, D.C., Virginia, Maryland, Delaware, West Virginia, Pennsylvania

Midwest – for example, Indiana, Michigan, Kentucky, Illinois, Wisconsin, Minnesota, Nebraska, Oklahoma, Arkansas, Missouri, Iowa, North Dakota, South Dakota, Ohio

Northeast – for example, New Jersey, New York, Connecticut, Massachusetts, New Hampshire, Vermont, Rhode Island, Maine

South – for example, Texas, Mississippi, Louisiana, Alabama, Georgia, Florida, North Carolina, Tennessee

West – for example, Washington, Oregon, California, Arizona, Nevada, Utah, Colorado, New Mexico, Idaho, Montana, Wyoming, Hawaii, Alaska

I prefer not to answer

I prefer to self-describe:

I prefer to self-describe:(Required)

Is there anything else you’d like to share with us about your background or identity?

Please upload your résumé or curriculum vitae, and a cover letter if applicable.

Drop files here or

Max. file size: 100 MB.

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