ESC of the Triangle - Durham.

Advisor Application

Advisor ApplicationMandie2022-01-24T23:30:21+00:00

Advisor Application

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Home Phone
Cell Phone
Race
We ask for voluntary demographic information to ensure we reflect the communities we serve.
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
Ethnicity
- Hispanic or Latino
- Not Hispanic or Latino
Languages Spoken (other than English)
Employment Status*
Please select one (or more) of the choices below that best fits your current employment status.
- Employed Full Time
- Employed Part Time
- Self-Employed Full Time
- Self-Employed Part Time
- Looking for Full Time
- Looking for Part Time
- Not Currently Looking for Employment
- Retired
Professional Experience*
Please select one (or more) of the choices below that best describes your professional experience.
- CPA
- Educator
- Engineer
- Entrepreneur
- Finance
- General Management
- Government
- Health Professional
- HR
- IT
- Lawyer
- Marketing
- Nonprofit Management
- PR/Communications
- Sales
- Social Worker
- Other
Other Professional Experience (Please Specify)
Core Competencies*
Please select up to five of the choices below that indicate the areas where you feel you can be most effective as a consultant.
- Board Development
- Budgeting
- Business Planning
- Coaching/Mentoring
- Financial Systems
- Fundraising
- Grant Writing
- HR
- IT
- Marketing
- Organizational Assessments
- PR/Communications
- Retreat/Meeting Facilitation
- Risk Management
- Strategic Planning
- Training/Workshops
Core Competency Ranking*
Please type in your chosen competencies from the question above and rank them in order of how you feel you can be most effective as a consultant.
#1 #2 #3 #4 #5
Have you had consulting experience?*
- Yes
- No
If no, are you familiar with the consulting process?
- Yes
- No
If yes, what type of organizations have you consulted with?
- For-Profit
- Nonprofit
Consulting Experience
Please press the "+" sign to add an additional line.
Firm/Organization Name Title Type of Consulting
Computer Literacy*
Please select any/all of the software with which you are proficient.
- MS Access
- MS Excel
- MS PowerPoint
- MS Word
- Other
Other Computer Literacy (Please Specify)
Foreign Language Fluency
Please list any languages other than English in which you are fluent and your level of fluency.
Evening/Weekend Availability*
Can you be available some weekdays between 9 a.m.-5 p.m? Are you also available some evenings and/or weekends?
- Some Weekdays
- Some Evenings
- Some Weekends
Monthly Availability*
Please select the months of the year when you are available.
- January
- February
- March
- April
- May
- June
- July
- August
- September
- October
- November
- December
Do you have any other limitations to your availability?*
- Yes
- No
If yes, please describe those limitations.
Recent Employment History*
Please include your last three positions. Please press the "+" sign to add an additional line.
Employer/Industry Most Senior Position Dates
Nonprofit Experience
Please include board membership. Please press the "+" sign to add an additional line.
Organization Most Senior Position Dates
What would you like to accomplish by volunteering with ESC?*
Why do you think ESC would be a good fit for you?*
How did you learn about ESC?*
Please select the way you first learned of ESC of the Triangle.
- Facebook
- Email/Direct Mailing
- ESC Website
- LinkedIn
- Twitter
- ESC Board Member or Advisor
- Internet
- Other
If you selected "Other" above, please provide additional information for our records.
Education
University/College/School Degree
Other Educational Experience
Please tell us about any other educational experience you may have.

Firm/Organization Name	Title	Type of Consulting

Employer/Industry	Most Senior Position	Dates

Organization	Most Senior Position	Dates

University/College/School	Degree