Board of Directors' Member Application Form

    Your Name

    Email

    Phone Number

    Address

    Postal Code

    List previous or current volunteer work.

    List any Board Member experience(s).

    On what types of committees do you see yourself serving?

    Are you available for monthly meetings, held in Nanaimo every fourth Thursday, from 5:30 pm to 7:30 pm, with the exceptions of December, July, and August?
    YesNo

    Please provide the name and phone number of a person we may contact, who you think is most knowledgeable of your abilities to serve as a Board Member.

    Reference's Name

    Reference's Phone Number

    Please send us a resume via email, if possible.

    I have provided a personal resume via email.
    YesNo

    If a resume is not available, please include some information about your education and employment history in this application.

    I am aware that a Criminal Record Check is required. Yes

     

    I am aware that board meetings take place in Nanaimo. Yes

     

    I have familiarized myself with the Roles and Responsibilities of Board Members. Yes

     

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