Board of Directors

We consider board applications on a rolling basis. If you or someone you know is interested, please fill out the form below.

Board Application

Part A - General Information

Name

First Name

Last Name

Home Phone

Other Phone

May we call you at your other telephone?

Yes

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Of Birth M/D/Y

Spoken Languages

Part B - Background Information

Education (Include highest grade completed, university degrees, relevant courses or training)

Employment (present position, related work experience)

Community Involvement

Recreation/Hobbies