Name: *

Home Address:

Phone(s) Number:

E-mail Address:

Work (if applicable) Company & Address:

Biography (200 Words):

What skills and knowledge are you willing to bring to our board? Please indicate your experience in the following areas (from a scale of one to 10):

Strategic Planning:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Fundraising:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Board Development (recruitment, training, evaluation):
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Program Planning and Evaluation:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Recruiting, Hiring, and Evaluating Personnel:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Financial Management and Control (budgeting, accounting):
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Public and Media Relations:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Participation in Interagency Committees:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Public Speaking:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Organizational Development; Teambuilding:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Information Technology:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Editing, Writing, Journalism, Communications:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Special Events (planning and implementing):
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Archiving; Recordkeeping:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Cultural & Folkloric group:
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

Graphic Design
Web Administration and Design :
Very Experienced (10, 9, 8)
Some Experience (7, 6, 5, 4)
Little or No Experience (3, 2, 1)

For the items you checked as “very experienced” or “some experience,” please provide details.:

If not described above, please outline your experience as a volunteer board or committee member? :

Who may we contact for information about your performance in these positions?:

If you have a resume or Bio, please attach it.:
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)

Please e-mail copy of resume and Biography with, Board of directors application and your JPG personal picture to
daotampa25@gmail.com, copy to e-mail tanya.hernandez@gmail.com

Thank you for your interest.
Membership committee DOM. Association of Tampa, DAOT

Interests (Please tell us in which areas you are interested to participate).

I would like to work for the following 2023 -2024 committee’s and events:
Cultural Committee / Folkloric group
Education Committee
Governance & Election Committee
Board of Directors Installation Ceremony & Dominican Mother Day Celebration
Tampa Bay Hispanic Celebration
Celebration Día International del Merengue
Fundraising Committee
Event Committee (different celebration during the year)
Administrator & Clerical work
Communication & Social Media Committee
Public Relations & Marketing Committee
Membership Committee
Graphic Design Committee

I will:
help with publicity
help print programs
take photographs at events
perform cultural events
clerical
graphic design
fundraising
help with check-in at events
website updater
social media
communications
secure sponsors

Other:

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CERTIFICATION - PLEASE READ THIS SECTION CAREFULLY BEFORE SIGNING.
By signing or submitting electronically or by post office mail this application, I certify that I have read and understand this application, and
further certify that the information I have submitted is complete and correct to the best of my knowledge and belief. I further certify that I
have never been arrested, detained, or restrained, taken into custody, or accused formally or informally of a violation of law or ordinance
(You may omit minor traffic violations that do not result in jail sentence, suspension or revocation of driver’s license, or a fine of less than
$200.00.) I agree to communicate promptly to the President of the DAOT any changes in any matters covered herein, even if such changes
occur after I have become a member. I understand that upon discovery of any inaccuracy of information contained herein, or omission of
information requested herein, the DAOT reserves the right to revoke my acceptance and declare my admission to the DAOT invalid. I agree
that if admitted, I will abide by the policies, rules and regulations of DAOT.

Applicant Signature:

Date:

Recommended By:

Phone Number:

Note: Annual Dues are in the amount of $25.00 shall be paid each fiscal year in the month of November or before installation day.

Become a member by creating your profile at www.daottampa.org to pay your annual membership

For additional information contact: Tanya Hernández/ President 813-298-4840

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