Board of Directors Application Board Member Application Contact InformationName(Required) First Last Address(Required) Street Address City Postal Code Phone(Required)Email(Required) Enter Email Confirm Email Employment InformationOccupation(Required)Place of Work(Required)Position/Title(Required)Work Address Street Address City ZIP / Postal Code Phone (work)Email (work) Enter Email Confirm Email I would prefer to have correspondence and Board/Committee materials sent to:(Required)Please SelectMy homeMy workplaceBackground and InterestsProfessional background: (Please describe the types of work you are or have been engaged in.)(Required)Community involvement: (Please describe any coaching, volunteering, organizing, mentoring experience you have and any professional or social memberships you hold.)(Required)Please attach your resume:(Required)Max. file size: 8 MB. Signature(Required)Date(Required)
