Chemeketa Foundation Board Member Application Form
Home mailing address:
Business name/address:
Mobile #: Office #:
Email address:
Professional/Business/Volunteer Affiliations:
Other Board Memberships:
The Chemeketa Foundation involves active participation by board members on standing committees.
Please indicate which committee(s) you would be interested in potentially serving on:
Please outline skills you bring to the board of directors.
Nominations will be reviewed and maintained for future consideration. Thank you for your interest in
serving on the Chemeketa Foundation Board of Directors.
Signature Date
Mail or scan to submit the application to the Chemeketa Foundation, or
4000 Lancaster Dr. NE, Salem, OR 97305
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Thank you for considering service on the Chemeketa Foundation Board of
The mission of Chemeketa Community College Foundation is to develop and oversee funds to meet
the needs of students and support the mission of Chemeketa Community College. Prior to joining the
Board of Directors, we ask that you familiarize yourself with the list of expectations:
As a board member I will:
1. Advocate for the Chemeketa Foundation’s mission and purpose
2. Attend at least 75% of board quarterly meetings
3. Make a personal financial contribution at a level that is meaningful to me (among my top five
philanthropic organizations)
4. Participate in one or more fundraising activities
5. Introduce friends to the mission of the Foundation
6. Participate in one or more standing committees
7. Review, approve and monitor the strategic plan
8. Consider for myself, and encourage others, to include the Chemeketa Foundation in estate
9. Understand the fiduciary responsibilities of serving on the board
10. Maintain appropriate donor confidentiality
11. Stay informed about goals and current activities of the Foundation
12. Work in good faith with staff and other board members towards achievement of our goals
What are some of the ways you anticipate engaging?
Questions you have for the Foundation?
___________________________________ ___________________________
Signature Date
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