Volunteer Application - The Community Foundation of Frederick County

Thank you for your interest in volunteering with The Community Foundation of Frederick County!

The information requested helps us understand your interest in our various volunteer opportunities, provides information about any potential conflicts, and assists us with including diverse perspectives and experiences within our committees.

Please contact Elizabeth Y. “Betsy” Day, President and CEO, at 301-695-7660 or president@FrederickCountyGives.org with any questions.

Name (as you would like it to appear in Community Foundation publications)(Required)

First Last

I. Volunteer Interests

Please tell us about your volunteer interests.

I am interested in the following volunteer opportunities (check all that apply):

Please share why you are interested in the volunteer opportunities checked above.(Required)

II. Skills, Experience and Relationships

The sections below are important to identify your skills and experience for committee work and potential conflicts of interest that should be disclosed.

Please list alma mater, educational degrees, and certifications:

Briefly describe your professional career experience, including current and prior positions. If you wish, include significant accomplishments:

Please list board experience, civic and social memberships, and volunteer activities, including offices you hold or held, and a brief description of your volunteer service with these organizations:

Please list your hobbies and special interests:

Please list any business relationships that may pose a conflict of interest in your role as a Community Foundation volunteer, including relationships your immediate household has with other nonprofits or the Community Foundation:

III. Contact Information and Demographics:

It is the Community Foundation's policy to never release home contact information. The demographic information below, while voluntary, helps us ensure we are gathering diverse perspectives and lived experiences on our committees. This information will remain confidential.

Contact Details(Required)

We collect both home and business contact information, please let us know which you'd like to us to use to communicate with you.

Home address

Business address

Business Name

Job Title

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Telephone Number

Business Email Address

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Telephone Number

Home Email Address

Cell Phone Number

Your Birth Date

Race & Ethnicity

How do you publicly self-identify?

Asian American/Pacific Islander/Asian

Black/African American/African

Hispanic/Latino/Latina/Latinx

Native American/American Indian/Indigenous

White/Caucasian/European

Multi-racial/Multi-ethnic (two or more races or ethnicities)

Prefer to self-describe (use field below)

Prefer not to answer

Race & Ethnicity Self-Describe

Gender Identity

How do you publicly self-identify?

Female

Male

Transgender/Nonbinary/Queer/Intersex

Prefer to self-describe (use field below)

Prefer not to answer

Gender Identity Self-Describe

What is your faith, religion, or belief system?

Agnostic

Atheist

Buddhist

Christian

Hindu

Jewish

Muslim

Other

Prefer not to answer

Do you have a disability as defined within the Americans with Disabilities Act?

Yes*

Prefer not to answer

*If you answered yes, please list any accommodations you may need to participate on a committee

Spouse/Partner's Name

Spouse/Partner's Occupation

Any other information that you would like to share:

Date

Number