Board Interest

1

Contact information

Tell us how to reach you.

First name

Last name

Email

Phone

City, county, and Oregon region

LinkedIn or professional profile, optionalEnter the web address without http:// or https://.

2

Professional and community affiliation

Your employer does not have to be a UFNOR partner.

Company or organization

Position or role

Other community, Tribal, professional, or volunteer affiliations

Your or your organization’s relationship with Oregon Food Bank

Please explain the relationship

3

Interest and representation

UFNOR is building a Board that reflects Oregon’s regions and communities.

Why do you want to serve on the UFNOR Board?

How would your experience advance UFNOR’s mission?

What regional, rural, urban, Tribal, cultural, professional, or lived perspective would you bring?Share only what you are comfortable providing.

Communities, counties, or service areas you know best

4

Experience and skills

Select all areas in which you could contribute.

Skills and experience

Relevant employment, volunteer, leadership, or Board experience

Relevant education, licenses, certifications, or training

5

Board service and availability

Good governance requires preparation, participation, and statewide collaboration.

Can you regularly attend meetings, review materials in advance, serve on a committee, and complete assignments between meetings?

Estimated hours available each month

Ability to travel within Oregon occasionally

Scheduling, language, technology, travel, or accessibility support that would help you participate

6

Independence and potential conflicts

A disclosed relationship is not automatically disqualifying. Transparency helps the Board manage conflicts responsibly.

Do you or an immediate family member have a financial, governance, employment, contracting, funding, or other relationship that could affect—or appear to affect—your UFNOR decisions?

Please explain any actual, potential, or perceived conflict

Current Board, advisory, public-office, or decision-making positions

7

References and acknowledgment

UFNOR may request additional materials after an initial conversation.

Reference name and organization

Reference email or phone

Second reference, optional

Second reference contact