Board Member Application Board of Directors Application PERSONAL INFORMATIONName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Enter Email Confirm Email Phone(Required)Occupation(Required) Church Affiliation(Required) QUESTIONAIRE1. Have you accepted the Lord Jesus Christ as your personal savior? If so, please provide a brief summary of your testimony of your faith in Jesus Christ.(Required)2. How did you first become aware of Agape Homeschool Group?(Required)3. Are you currently homeschooling your children? If not, please describe your involvement, if any, within the homeschooling community.(Required)4. Are you currently a member of Agape Homeschool Group?(Required) Yes No 5. How many years have you been a member of Agape Homeschool Group?(Required) 6. What are your thoughts on Agape Homeschool Groups current Vision Statement?(Required)The vision of Agape Homeschool Group is to be an enduring Christ-centered organization that equips Christian homeschool families for God’s purposes by meeting a variety of educational (Prov. 22:6) and relational (II Peter 1:5-8) needs and which seeks to connect with the community to further God’s kingdom. (Acts 1:8)7. What gifts, talents and experience would you bring to Agape Homeschool Group Board of Directors?(Required)8. Why are you interested in serving on the Agape Homeschool Group Board of Directors?(Required)9. Please describe past and present positions held and services preformed for other non-profit organizations or ministries.(Required)10. Does your spouce and family support your involvement in Agape Homeschool Group?(Required)11. What is one area of growth you hope to improve this year?(Required)12. When given the task to make decisions, what is your process?(Required)13. What position on the Agape Homeschool Group Board of Directors are you hoping to fill?(Required)14. Is there someone willing to write a letter of recommendation or give you a reference? If so, please provide their information below. (pastor or non-relative who is in a leadership role)(Required) Yes No Reference Name(Required) First Last Reference Email(Required) Enter Email Confirm Email Reference Phone(Required)15. Are you willing to sign our Statement of Faith?(Required)Click to View Statement of Faith Yes No 16. Do you give permission to have a yearly background check?(Required) Yes No 17. Are you willing to make a two year commitment to serve on the Agape Board of Directors? This may include monthly meetings, volunteering for special projects and participating in other committees.(Required) Yes No 18. Please provide a short biography that can be shared with Agape members for their election considerations.(Required)*Your application may be shared with Agape members.