AGCC Board Member Application form
Thanks for your interest in serving on our Board of Directors. Please complete the following application form and someone from the Board will reach out to you.
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Email *
Your Name *
Home address *
Phone (daytime) *
Phone (evening) *
Email address *
Occupation/place of employment *
What is your affiliation with the Centre? *
Why are you interested in becoming a member of our Board?
What skills/expertise do you bring to the Board? Please rank on a scale of 0-5 (0= no expertise; 5= professional expertise) *
1
2
3
4
5
Accounting/Finance
Legal
Human Resources
NFP Governance
Fundraising/Grant writing
Communications/Marketing
NFP business operations
Strategic planning
Childcare
Any other skills and/or knowledge you can bring to the organization that will benefit the board (e.g., have you served previously on a board?)?
Would you be interested in serving as an officer? If so, which position?   *
Any additional comments or areas of interest?
A copy of your responses will be emailed to the address you provided.
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