PCampagna-Volunteer-Referral-Profile-form

advertisement
Date: 08/20/2012
Girl Scouts of Virginia Skyline Council, Inc.
Volunteer Referral Profile Form
Self Referral
OR Referred By Heidi Dearstyne
I have not spoken to this person about serving.
I have spoken to this person about serving on:
The Board,
The Board Development Committee,
Name: (Mr.
, Ms.
, Mrs.
Other Committee(s)
(specify)
) Peg McGuire Campagna
Address: 1755 Driftwood Dr, Roanoke, VA 24018
Street, City, State Zip
E-mail address(es): pegcampagna@gmail.com;
Phone #s: Mobile: (540)339-2753, Work: (
Current Girl Scout
Former Girl Scout
@
)
-
, Home: (
Current Girl Scout Volunteer
Former Girl Scout Volunteer
)
-
No current Girl Scout affiliation
Parent of Girl Scout
Employment:
Retired
Self-employed
Private Sector
Public Sector
Home Worker
Volunteer Organization
Student
Educational Institution
Other:Cultural Institution
(specify)
Current Employer:
Position: Director of Marketing, From July 2011 to Current
Company/Organization: Virginia Museum of Transportation
Address: 303 Norfolk Ave SW, Roanoke, VA 24016
Street, City, State Zip
Previous Employer:
Position: Self-employed, From 2001 to 2011
Company/Organization: Contract Marketing for small companies
Address: Various
Street, City, State Zip
Education:
High school,
Community College/Trade School,
4-Yr. Degree:
(Specify degree and major)
Advanced Degree(s): Masters in Journalism,
(specify degree(s) and major(s))
1
R 1/2012
Your Skills and Expertise:
Please indicate the 3 areas (as 1, 2, 3) where the person being referred has the highest skill or expertise to
share with the Girl Scouts with 1 being the area of highest skill/expertise. (You can mark other skills with an
‘x’.)
x
Finance and Accounting
Construction / Building Repair & Maintenance
Business Management
Real Estate
Human Resource Management
Engineering
Legal Services
Education - Children
Insurance/Risk Management
x
Education - Adults
x
Public Relations / Communications
x
Lobbying / Advocacy / Legislative Relations
x
Marketing
x
Strategic Planning
x
Fund Development
x
Religious Activities
Technology (Computer Networks / Systems)
Medical
Parliamentary Procedure
Other
Prior Board / Volunteer Experience:
No prior Board experience
Has served on boards for:
private business(es)
public organization(s)
non-profit organization(s)
Please list: St. Louis Eastern Missouri Council Board, Boston Board of Catholic Charities, Boston Walk for
Hunger Board, Boston Marathon Board, Community Service Committee with Boston Girl Scout Council, St.
Louis United Way Board
Community Service / Volunteer Work / Girl Scout Experience: Lifetime Membership, Marian Award, Gold and
Silver Award
-The following information is voluntary but will help us maintain diversity in the Girl Scout organization.
Race:
Age:
American Indian/Alaskan Native
Asian or Pacific Islander
Hispanic
Caucasian
Mixed Racial Origin
16-18
30-39
40-49
19-29
Geographic Residence Location:
Religious Preference:
Black
Urban (City)
Suburban
50-59
Other:
60 or over
Rural
Protestant
Catholic
Jewish
Islamic
Buddhist
American Indian Spiritual Tradition
No Preference/Other:
Hindu
Please return completed form to the Board Development Committee. Thank you!
2
R 1/2012
Download