United Horizons Application

This form is for individuals to apply to be part of the United Horizons Board Training program offered by United Way of Racine County. United Horizons is made possible by a grant from the Volunteer Generation Fund in partnership with AmeriCorps and Serve Wisconsin.

Your information

First name

Last name

Age

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email address

Phone number

Employer(s), if currently not employed, put n/a

Job title, if currently not employed, put n/a

Application questions

What is your connection To Racine County?

I live in Racine County

I work in Racine County

I both live and work in Racine County

Will you be able to attend all of the session listed below?

Yes

Monday, November 3: 4:30-6:30 p.m.
Monday, November 10: 4:30-6:30 p.m.
Monday, November 17: 4:30-6:30 p.m.
Monday, November 24: 4:30-6:30 p.m.
Monday, December 1: 4:30-6:30 p.m.
Monday, December 8: 4:00-7:00 p.m.
Monday, December 15: 4:30-6:30 p.m.

Will you need documentation for your employer to participate in this program?

Yes

List any current or prior board memberships. If you've never served on a board, type none.

Why are you interested in this board training program? What do you hope to learn or gain?

Is there anything you would like us to know regarding your potential participation in this program?

I understand that, as a participant, I will engage in a 90-day tracking period following the completion of the board training program.

United Horizons Application

Interested in helping out?