Community Engagement Form

Community Engagement Opportunities *

West Coast Connect Directory
The West Coast Connect board highlights opportunities to serve nonprofit organizations through roles on a board of directors or in high-level/skilled committees. 

Your profile will highlight your areas of interest and your unique skill set.

Most fields in the West Coast Connect Directory will not be publicly visible but will be used to make connections with organizations' specific needs.

Education Connections Directory
The Education Connections Directory connects individuals and organizations with opportunities to play an active role in local education through workplace visits, facility tours, classroom presentations, and more. 

All fields in the Education Connections Directory will remain private and will only be used to connect you with meaningful opportunities for involvement. 

Please select one or both of the Community Engagement Opportunities.

West Coast Connect Directory

Education Connections Directory

First Name *

Answer displayed in public directory.

Last Name *

Email *

Cell Phone *

Gender *

Enter required value Female Male Non-Binary Transgender Prefer not to answer

Birth Year

Ethnicity *

Please select all that apply. 

African American

Asian

Caucasian

Hispanic

Middle Eastern / North African

Native American

Prefer not to answer

Other

If selected other, please specify

Home Address *

City *

State *

Enter required value

Zip Code *

Township/City *

County *

Enter required value Allegan Kent Muskegon Ottawa Other

If selected other, please specify

School District *

Based on where you currently reside.

Enter required value Hamilton Holland Hudsonville West Ottawa Zeeland Other

If selected other, please specify

Current Employer *

Current Title *

Please list all proficient languages

Education Earned *

Please select all that apply.

High School Diploma

Bachelors

Masters

Doctorate

Other

If selected other, please specify

Personal Certifications

Have you served or are you currently serving in the military? *

Enter required value Yes No Prefer not to answer

Please list any current or past board or committee experience

Board	Role	Years Served
			Del

Add row

Do you identify as having a disability or impairment? *

Enter required value Yes No Prefer not to answer

Are you willing to serve as a mentor?

Yes No

LinkedIn Link

Please share your personal LinkedIn Profile link.

Anything else we should know?

Area of Interest *

Please select all that apply.

Agriculture

Animals

Arts & Culture

Children / Family

Community Development

Economic Development

Education

Environmental

Finance

Government

Health & Wellness

Housing / Shelter

Human Services

Legal

Mental Health

Recreation

Religious

Social Services

Technology

Transportation

Youth

Skillset *

Please select all that apply.

Event Planning

Financial

Fundraising

Governance

Human Resources

Language Proficieny

Legal

Policy

Marketing / PR

Organizational Management

Risk Management

Strategic Planning

Technology / IT

Urban Planning

Other

If selected other, please specify