Board of Directors' Member Application Form

    Your Name


    Phone Number


    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 and online via Zoom every fourth Thursday, from 5:30 pm to 7:30 pm, with the exceptions of December, July, and August?


    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.


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


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