×
Home
About
About
Our History
About LCDEF
Meet the LCDA Board
Meet the LCDEF Board
Meet The LCDA Team
Corporate Partners
Corporate Visionary Awards
LCDA Impact Reports
Job Opportunities
Membership
Join LCDA
Member Directory
LCDA's Mighty Network
BoardReady
LCDEF BoardReady Institute (BRI)
2024 Boston BoardReady (BRI) Recap
BoardReady Institute Certified
Events
Events Calendar
2024 - 9th Annual Board Leaders Convening
2023 - 8th Annual Board Leaders Convening Recap
2022 - 7th Annual Board Leaders Convening Recap
2021 - 6th Annual Board Leaders Convening
BoardWise Virtual
Find Board Talent
Member Directory
Talent Services
LCDA Appointments
Insights
Insights Hub
Latino Voices for Boardroom Equity
Latino Board Tracker
News
News
Newsletters
Search
Member Login
×
Log in to Member Area
Forgot Password?
Icon for Vieth Facebook account
twitter-icon
Icon for Vieth LinkedIn account
Icon for Vieth YouTube channel
Member
Login
Donate
Main Logo
Home
About
About
Our History
About LCDEF
Meet the LCDA Board
Meet the LCDEF Board
Meet The LCDA Team
Corporate Partners
Corporate Visionary Awards
LCDA Impact Reports
Job Opportunities
Membership
Join LCDA
Member Directory
LCDA's Mighty Network
BoardReady
LCDEF BoardReady Institute (BRI)
2024 Boston BoardReady (BRI) Recap
BoardReady Institute Certified
Events
Events Calendar
2024 - 9th Annual Board Leaders Convening
2023 - 8th Annual Board Leaders Convening Recap
2022 - 7th Annual Board Leaders Convening Recap
2021 - 6th Annual Board Leaders Convening
BoardWise Virtual
Find Board Talent
Member Directory
Talent Services
LCDA Appointments
Insights
Insights Hub
Latino Voices for Boardroom Equity
Latino Board Tracker
News
News
Newsletters
LCDA Executive Membership Interest Form - Latino Corporate Directors Association
Pre-Screening form used for prospective LCDA Executive Member (EM) candidates. Basic questionnaire to screen for minimum requirements.
*
- Required Field
First Name *
Last Name *
Email *
Current Title
*
Current Company
*
Do You Self-Identify as a U.S. Hispanic/Latino? If So, What is Your Hispanic/Latino Background?
*
How Did You First Learn About LCDA?
Select all that apply
Internet Search (LCDA site, Google, etc.)
Conference
Which Conference?
LCDA Staff
Please Provide Full Name of Staff
Publication (Latino Leaders, Hispanic Executive, etc.)
Which Publication?
Social Media (LinkedIn, Twitter, Facebook, etc.)
Which Social Media Outlet?
Board Influencer (Search Firm, PE/VC, Nom/Gov Chair, etc.)
Please Provide Details
LCDA Member
Please Provide Full Name of the LCDA Member
Other
Please Provide Details
Are You a U.S. Permanent Resident or U.S. Citizen?
*
Yes
No
Which Category Best Describes Your Most Recent Role?
*
Select all that apply
C-Suite Corporate Experience (Particularly CEO, CFO, CIO, CMO, CTO, COO, GC, and CPO positions)
EVP/SVP/VP, 1 to 2 levels removed from CEO in a Public Company or At a Private Company with Scale (Typically >$500M in Annual Revenues)
Entrepreneurs or Managing Partners/Directors of LLPs, LLCs or Mutual Companies with Annual Revenues of $20M or Higher
Former High Ranking Military Leaders and Formal National and/or Statewide Elected or Appointed Officials
Largest P&L or Budget Managed:
*
Please Provide Your LinkedIn Profile or Link to Professional Bio:
*
Current/Past Boards and Roles? Please Include Nonprofits Boards, Board Advisory Roles and Board of Trustee Positions
*
(Word limit: 250)
Briefly Explain How You Have Supported The Advancement of the U.S. Latino Community By Paying It Forward
*
(Word limit: 250)
Desired Timeline to Join a Board?
*
-- No Selection --
1-2 years
3-4 years
5-6 years
7 years or more
Choose 1
Expected Retirement Timeline?
*
-- No Selection --
1-3 years
4-6 years
7-9 years
10 years or more
Choose 1
Submitting Form... (Please do not close your browser)
Saving Form... (Please do not close your browser)