Test Form 2

Board of Directors' Application

This completed application form will be submitted to Anna Maskerine, Executive Director, and Cathy Leugner, Chair, Board of Directors of Nelson Community Services Society.

Date:
First Name:
Last Name:
Street Address:
Street Address Line 2:
City:
Province:
Postal Code:
Phone:
Email*
Current or Previous Employment:
Name of Employer:
Street Address:
Street Address Line 2:
City:
Province:
Postal Code:
Length of Employment:
Type of Business or organization:
Your Position:
Name of Employer: (2)
Street Address:
Street Address Line 2:
City:
Province:
Postal Code:
Length of Employment: (2)
Type of Business or organization: (2)
Your Position: (2)
Please list any professional or volunteer Boards or Committees that you have served on:
Organization:
Role/Title:
Date(s) of Service:
Organization:
Role/Title:
Date(s) of Service:
Organization:
Role/Title:
Date(s) of Service:
Education/Training/Certificates:
Skills, experience and interests: (Please chexk all that apply)
- Finance
- Non-profit experience
- Education/Instruction
- Outreach
- Management
- Communications/Social
- Legal
- Advocacy
- Public Relations
- Fundraising
- Human Resources
- Administration
- Grant Writing
- Strategic Planning
- Policy Development
- Program Evaluation
- Accounting
- Community Service
- Special Events
Other:
Please add any other information that you would like to share.

Title

CAD

Test Form 2

Board of Directors' Application

Current or Previous Employment:

Please list any professional or volunteer Boards or Committees that you have served on: