First Name:

Last Name:

Email:

Birthday:

Home Phone:

Fax:

Work Phone:

Cell Phone:

Experience:

Retired?

Yes:

No:

Retirement Date:

Presently Employed :

Full time:

Part time:

Employer:

Availability for volunteering:

Times of the Year?

Days of the Week?

Nonprofit and Volunteer
Experience:

Organization1:

Tenure:

Activities:

Organization2:

Tenure:

Activities:

Organization3:

Tenure:

Activities:

Most Recent Position:

Company:

Title:


Length of Service:


Areas of Responsibility:

Prior Position:

Company:

Title:


Length of Service:


Areas of Responsibility:
 

References

Please provide names and phone numbers of two references.

Name:

Name:

Other Information

Please provide any other information which will help ESC know you better. (e.g. Publications, honors and awards, association memberships, military experience, hobbies, foregin languages, special interests, etc.)

Skills and Interests

Please indicate any preferences you might have as to type of nonprofit organization:

		Arts
		Education
		Social Services
		Government
		Health Care
		Environment
		No Preference
		Other:

Will you consider projects outside of the greater Seattle area :

 

Yes:

No:

Most requests for assistance from nonprofit organizations fall into the general areas shown below. If you are qualified and also have an interest in consulting in any of these areas, please check appropriately.

		STRATEGIC PLANNING
		Mission Statement Development
		Goal and Objective Setting
		Feasibility Studies
		Program Evaluation
		BOARD DEVELOPMENT
		Assessment/Evaluation
		Staff and Board Relations
		MARKETING
		Market Research and Strategies
		Marketing Plans
		Advertising and Promotion
		PUBLIC RELATIONS
		Public Relations Strategies and Plans
		Media Relations
		Public Opinion Studies
		Newsletters and Brochures
		Writing/Editing
		ORGANIZATION
		Organization Evaluation
		Organization Planning/Design
		Mergers
		Management Controls
		Business Plans
		Start ups
		FINANCIAL PLANNING; CONTROLS
		Accounting/Auditing
		Reporting and Controls
		Budgeting
		Payroll
		OPERATIONS AND SUPPORT
		Retail Store Management
		Small Business Management
		HUMAN RESOURCES
		Personnel Policies and Practices
		Compensation and Benefits
		Employee Relations
		Training Development
		Team Building
		Volunteer Development and Utilization
		Performance Planning; Appraisal
		Staffing (Recruiting/Placement)
		FUNDRAISING
		Fundraising Strategies
		Feasibility Studies
		Capital / Annual Giving Campaigns
		Fundraising Events

Please tell us why you would like to volunteer with ESC: