top of page

Supervising Agents Form

Agent Contact Form

Age Group:
Please check all the following demographics that apply to you: 
What strengths/skills could you contribute to the Board? (Check all that apply) 

Please provide 2 references.  

Please answer the following questions:

1. What is your background and experience in anti-violence movements? 
2. Do you have nonprofit board experience?  If yes, please describe. 
3. Why do you want to be on the Violence Free Minnesota Board of Directors?  
4. What would be your strongest contribution as a Violence Free Minnesota Board member? 
5. What would you hope to gain from your experience as a Violence Free Minnesota Board member? 
6. What do you see as the most pressing or critical issue(s) that the Coalition is facing or needs to address?  What role should the Violence Free Minnesota Board of Directors play in responding to those issues? 

I verify that the above information is true. 

Thanks for submitting!

bottom of page