Nonprofit Consultant Volunteer Application Form

Personal Information

First Name:*
Last Name:*
Address:
City:*
State:*
Zip:	-
Phone (home):
Phone (office):
Phone (cell):
Fax:
E-mail address:*

Please upload your resume here:

How did you learn about ESC?

If you selected Other please specify:

Current Work Status:

Retired Date:

Presently Employed

Employer:

Self Employed:

Type of employment
Full-time Part-time

Professional Experience (list most recent first):

Organization:
Position:
Dates:
Check box if Management Consulting Experience

II.

Organization:
Position:
Dates:
Check box if Management Consulting Experience

III.

Organization:
Position:
Dates:
Check box if Management Consulting Experience

IV.

Organization:
Position:
Dates:
Check box if Management Consulting Experience

Board Experience

Organization:
Position:
Hours/Month
Dates:
	Past Current

II.

Organization:
Position:
Hours/Month
Dates:
	Past Current

III.

Organization:
Position:
Hours/Month
Dates:
	Past Current

Volunteer Service

Organization:
Position:
Hours/Month
Dates:
	Past Current

II.

Organization:
Position:
Hours/Month
Dates:
	Past Current

III.

Organization:
Position:
Hours/Month
Dates:
	Past Current

Education

School	Degree	Date

Language Proficiency

Do you speak any other languages? If so please specify:

Computer Proficiency

I use a PC I use a Mac I do not use a computer

If you use a computer, are you comfortable using the following: (Please check all that apply)

Microsoft Word	Email
Microsoft Excel	Internet
Microsoft PowerPoint	Other Software:

Availability

Do you have any time constraints? Yes No

If yes please describe:

Hobbies and Interests

What are some of your hobbies and interests?

Candidate Skill Profile

Professional & Consulting Skills

	None	Some	Substantial
Business Planning
Workshop/Meeting Facilitation
Conflict Management/Resolution
Mentoring Others
Consulting Experience
Team Building
Small Business Operations

Governance

	None	Some	Substantial
Board Development
Retreat Facilitation
Fiduciary Oversight

Strategic Management

	None	Some	Substantial
Planning Process Facilitation
Implementation Coaching
Outcomes Measurement

Revenue Generation

	None	Some	Substantial
Fundraising Strategy Development
Planning
Profit Making Activities
Staff/Board/Committee Training
Annual Campaigns
Capital Campaigns
Deferred Giving
Grant/Proposal Writing
Special Events

Organizational Development

	None	Some	Substantial
Organizational Studies
Structure Analysis/Design
Merger/Collaboration Planning
Change Management

Human Resources

	None	Some	Substantial
Wage/Benefit Studies
Benefit Programs
Wage & Salary Administration
Staff/Management Devel/Training
Personnel Policies/Procedures
Recruiting and Selection
Volunteer Management

Finance

	None	Some	Substantial
Accounting Systems
Financial Planning/Control
Cash Flow Analysis/Projections
Operating/Capital Budgeting
Cost Accounting
General Accounting

Information Technology

	None	Some	Substantial
IT Assessment/Strategy
Data Needs Assessment
Overall Systems Evaluation
Equipment/Software Planning
Web Site Design/E-Commerce
Knowledge Management

Marketing

	None	Some	Substantial
Focus Groups/Surveys
Market Plans
Market Niche Assessment
Program and Service Evaluation
Branding

Public Relations

	None	Some	Substantial
General Public Relation Strategies
External Communications
Outreach & Event Planning

Internal

	None	Some	Substantial
Writing Articles/Case Histories
Administration
Serve on Committees/Task Forces
Proposal Writing

Please list other areas of skills/interests

Please write a short statement stating why this kind of work is of interest to you, what in your previous work is relevant, and what specific areas of consulting are of interest to you.