JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Board of Directors Candidate Application
Food4Kids Waterloo Region
Susan Cook-Scheerer, Board President
10 Washburn Drive, Unit 4
Kitchener, ON N2R 1S2
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date
*
MM
/
DD
/
YYYY
Applicant Name (First, Middle, Last, Familiar Name)
*
Your answer
Address
*
Your answer
Phone
*
Your answer
E-mail
*
Your answer
Employment Details
Employer Name
*
Your answer
Your Title
*
Your answer
Address of Employer
*
Your answer
Employer Phone Number
*
Your answer
Employer E-mail
*
Your answer
Type of Business or Organization
*
Your answer
Primary Service(s) and Area/Population Served
*
Your answer
Number of Years Employed
*
Your answer
Preferred Method of Contact
*
Work
Residence
Please List Boards and Committees that you serve on, or have served on
(business, civic, community, fraternal, political, professional, recreational, religious, social).
Organization, Role/Title, Dates of Service
*
Your answer
Education/Training/Certificates
*
Your answer
Optional – Have you received any awards or honors that you’d like to mention?
Your answer
How do you feel Food4Kids Waterloo Region would benefit from your involvement on the Board?
*
Your answer
Skills, experience and interests (Please circle all that apply)
*
Finance, accounting
Personnel, human resources
Administration, management
Nonprofit experience
Community service
Policy development
Program/evaluation
Public relations, communications
Education, instruction
Special events
Grant writing
Fundraising
Legal
Other:
Required
Please list any groups, organizations, or businesses that you could serve as a liaison (champion) to, on behalf of Food4Kids Waterloo Region.
Your answer
Please tell us 3 personal reasons you would like to be on the Board of Directors.
*
Your answer
References
Reference #1 (Name, Relationship to you, E-mail, Phone #)
*
Your answer
Reference #2 (Name, Relationship to you, E-mail, Phone #)
*
Your answer
Reference #3 (Name, Relationship to you, E-mail, Phone #)
*
Your answer
Thank you for applying for a position to the Board of Directors, Food4Kids Waterloo Region. We will contact you within 24 hours of receipt of the application to confirm receipt and the process for selection.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of hughestech.ca.
Report Abuse
Forms
