• NeighborImpact Board of Directors / Committee Member Application

  • Would you like to be contacted if a board seat that matches my qualifications becomes open?*

  • What should we call you?

  • Where do you live?

  • Is your place of residence the same as your mailing address?*

  • How should we contact you?

  • Preferred Method of Communication*
  • Format: (000) 000-0000.

  • Tell us about you:

  • Would you like to upload your resume?
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  • Do you have any of the following special skills?
  • Are you employed?
  • Are you elected?
  • Do you now or have you ever held any other elected positions?
  • Are you a public official, but not elected?
  • Highest level of education attained:

  • Are there conflicts of interest we should know about?

  • Will your service to NeighborImpact create any concerns or conflict?
  • Do you have a loan with NeighborImpact?

  • Oregon law prohibits a board member from receiving loans from the corporation.

    You may continue to apply for a committee position, but not a board position while your loan with NeighborImpact is active.

  • Have you ever been convicted of a felony or misdemeanor or sanctioned by a financial regulatory body?

  • Conviction of a previous crime or a regulatory sanction is not necessarily a bar to service on the board of directors or one of its committees. A further conversation with a NeighborImpact board or staff member will be needed to clarify any restrictions on service that might be implicated.

  • Which, if any, of the following statements apply?

  • 1. Have a conflict of interest related to employment by NeighborImpact?

  • Applicant:
  • Spouse/Partner
  • Child/Other Relative:

  • 2. Employed by or serve on the board of an organization or business that transacts business with NeighborImpact regularly?

  • Applicant:
  • Spouse/Partner
  • Child/Other Relative:

  • 3. Have a conflict of interest related to selling goods or providing services to NeighborImpact for compensation?

  • Applicant:
  • Spouse/Partner
  • Child/Other Relative:
  • Have you ever served or volunteered for NeighborImpact before?

  • Why are you interested in us?

  • Demographics Information:

    The following questions are related to categorization and are not selection criteria. 
  • Gender:
  • Culture/Race/Ethnicity:
  • Age Category:
  • Do you have a disability?
  • Are you a veteran?
  • Do you identify as a member of an historically marginalized population on the basis of race, disability, sexuality or other status?
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  • One third of NeighborImpact’s board must consist of low- to moderate-income board members. The following information will tell us whether you can quality for one of these seats. We are not interested in your specific income. If your income is higher than these thresholds, please continue the application. Two thirds of the board does not need to income qualify, and there are no income requirements related to board committee service.

  • Income verification is a CSBG grantor requirement for “representatives of economically disadvantaged” board seats. Please select one of the following:

  • Board Committees

    The Board President appoints membership to committees; and creates and appoints membership on committees or task forces to investigate matters or to advise the Board or any officer on a matter and are intended to be for a single purpose and have limited duration. All directors will be asked to serve.

  • Finance Committee

    • Establishes and oversees budget development process; serves as budget committee (usually with Executive Committee)
    • Reviews and make recommendations on fiscal reports to the board (NeighborImpact and limited partnership). 
    • Oversees procurement processes.
    • Meets annually with auditor to review audit/990 and recommend adoption to the NeighborImpact board. 
    • Provides oversight of fiscal management policies and reviews. 
    • Oversees the investment policy; reviews investment performance.
    • Recommends internal controls. 
    • Oversees risk management activities

  • Lending Committee

    • Implement the lending policy approved by the Board.
    • Review monthly and annually the performance of the loan portfolio.
    • Approve loans and loan modifications on behalf of the board.
    • Approve the loan rate sheet, review and approve all fees to be charged in connection with loans.
    • Approve bad debt write off; recommend bad debt write offs to board.
    • Oversight of compliance and lending policies.

  • Culture and Belonging Committee

    • Suggests strategies to management for recruiting and advancing demographically underrepresented populations to the NeighborImpact workforce.
    • Suggests strategies to management for increasing outreach to clients from underserved communities and populations, both geographic and demographic.
    • Suggests strategies to management for addressing internal culture and morale within the organization and for messaging to external audiences that NeighborImpact serves ALL of Central Oregon, both geographically and demographically.
  • Please indicate below if you are interested in serving on any of the above committees:

  • Commitment

  • Volunteer/Confidentiality Agreement:

    • If elected to serve on the Board of Directors or appointed as a committee member at NeighborImpact ("volunteer"), I agree to the following:
    • I will hold all information that I may obtain directly or indirectly concerning clients and/or staff in absolute confidence.
    • I will not solicit my political or religious beliefs to clients and/or staff.
    • My services are donated to NeighborImpact without contemplation of compensation or promise of future employment.
    • I understand that a criminal background and/or credit check may be required depending on the area of my volunteering.
    • I will be punctual and conscientious; conduct myself with dignity, courtesy, and consideration of others and endeavor to make my work professional in quality.
    • I will make every effort to resolve any problems related to my volunteer service with the Board President, Executive Director and/or the Executive Committee.
    • I will make my best effort to fulfill my commitment to NeighborImpact by completing all volunteer assignments that I accept.
    • I understand that NeighborImpact reserves the right to terminate my volunteer status as a result of failure to comply with NeighborImpact's policies; absences without prior notification; unsatisfactory attitude, work, or appearance; or any other circumstance which in the judgement of the Board of Directors, would make my continued service as a volunteer contrary to the best interests of NeighborImpact and in accordance with NeighborImpact policies and bylaws.
    • I understand that it is a violation of NeighborImpact policy to solicit business or act as an agent for outside business.
      I will refrain from using my volunteer position to seek personal gain through sales of goods or services, or to solicit contributions for organizations other than NeighborImpact, or the pursuit of political activity on behalf of a candidate for public office while volunteering for or representing NeighborImpact.
  • Some federal and state funders may require board members to submit to background checks, including submission of sensitive personal information such as Social Security numbers and birth dates. Whenever sensitive information is requested, every effort is made to protect confidentiality.
  • NeighborImpact is frequently contacted by affiliated organizations seeking help in identifying board members with particular skills sets. Would you be willing to allow us to pass your name and contact information along to another organization doing similar and important work in Central Oregon?

  • I have read each of the above conditions and agree to be held accountable to them.

    I acknowledge that typing my name below serves as my electronic signature.

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