Volunteer Application The Women's Foundation of Southern Arizona encourages the participation of volunteers who support our mission to achieve social, political and economic change that empowers women and girls. We are pleased in your interest to be a Grant Evaluator. The information on this form will be kept confidential. To be eligible to serve as a volunteer this year you must be able to commit to the following: Attend one of 2 mandatory Application Review Orientation meetings either November 7, 2016 OR November 9, 2016, 5:30 - 6:30 pm; Evaluate grant applications through our on-line grants management system between the dates of November 10, 2016 and February 3, 2017. We estimate it may take up to 30 hours to read and score the applications; Attend one of 2 mandatory Site Visit Orientation meetings either January 5, 2017 OR January 11, 2017, 5:30 - 6:30 pm; Be available to attend site visits for approximately a 3 hour block of time between January 16, 2017 and February 3, 2017; Attend a mandatory Application Ranking meeting Saturday, February 11, 2017, from 9:00 am - 3:00 pm (lunch to be provided). Name* First Last Preferred Daytime Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer*PositionHow did you learn about the Grant Evaluator Committee?*Please list any special talents or skills you have that you feel would benefit this committee.*What do you hope to gain from volunteering for this committee?*Please list other non-profit organizations to which you have provided services in the last 5 years, either as an employee, a consultant or a volunteer.Please identify each organization and the services you provided for each.OrganizationServices ProvidedDates of Service Is a direct family member or member of your household an employee of a Southern Arizona non-profit organization?*YesNoName of OrganizationPlease list name of organization(s) direct family or household members are employed by. Application Review Orientation Meeting*Please check your meeting date preference.5:30 pm, November 7, 20165:30 pm, November 9, 2016I understand that my work as a member of the Women’s Foundation Grant Evaluator Committee is purely on a volunteer basis. In addition, I also understand that the time commitment includes orientation meetings, time to properly evaluate each grant application, site visits to 2 - 3 grant applicants in Southern Arizona, and the grant applicant ranking meeting. In addition, as a volunteer of the Women’s Foundation, I agree to abide by its policies and procedures. I also understand that, if chosen to volunteer on the Grant Evaluator Committee, I will become aware of financial and other sensitive information of the non-profit organizations that may be applying for grants, and that I am not to share this or any other grant award information until after the annual luncheon. Date* MM DD YYYY NameThis field is for validation purposes and should be left unchanged.