Amelia Rising SVSC Application to the Board of Directors
Thank you for your interest in applying to the Board of Directors for Amelia Rising Sexual Violence Support Centre. Please complete the following form for review. 
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Email *
Name *
Date *
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Pronouns *
Phone *
Address (#, street, city, postal code) *
What would you consider is your specialization? What will you bring to the board?
*
Skills, Experience and Expertise 
What skills, experiences and expertise could you contribute to our board? Please check all that apply. (*SVSC=Sexual Violence Support Centre) *
Required
Have you served on any other boards?  If so, which ones?  *
What community development or charitable activities have you been involved with?  *
Your Ability To Serve
Could you regularly attend Board meetings at 6:30pm on the third Tuesday of each month? *
Can you commit to 1 Board (and 1 committee meeting if applicable) per month?  *
Will you commit to attending a training session for new Board members?  *
Additional Comments
Why are you interested in joining the Board of Directors at Amelia Rising? *
Please write a brief statement of your understanding of the mission of Amelia Rising.  *
References
Please provide contact information for two references. 
1) Name 
2) Email
3) Phone 
4) Relationship
*
1) Name 
2) Email
3) Phone 
4) Relationship
*
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