Board of Director Application Form
We appreciate that you're taking time to fill out this form so we can learn more about you. Once we receive your application, it will be shared with our awesome board of directors for evaluation. If there is some reason you would prefer not to use this form, please call us to do this verbally over the phone or in person.

Of course, we will be asking what you can offer us---but we'd like to share what we can do for you! You'll be joining a collegial, sex positive organization that prides itself on social justice and advancing health and well-being for everyone. You'll have the opportunity to learn if you're keen to explore non-profits, fundraising, grants, professional development, and more.

And yes, we do have Board of Directors' insurance!

Thank you again for your interest in South Shore Sexual Health.
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Email *
Name and Contact Information
First, just a few things about you. At some point, we will also ask you for your birthdate and civic address in order to comply with Registry of Joint Stocks and the Canada Revenue Agency.
Name *
First and last name that you use, as well as pronouns
Email *
Phone number *
Agreements for Board Members
We do have some expectations for our Board Members. We like to be transparent, so you know how we operate and how we work to protect our organization, staff, volunteers, and clients.
I understand there may be a criminal record check or child abuse registry check as part of regular board screening depending on my responsibilities. We will still consider folks with past convictions, depending on the nature of the offense, if you're willing to share that information with us. *
I understand I will need to be a member of the society, adhere to its mission and values, sign a confidentiality agreement, and abide by our Code of Conduct. *
I understand that we are currently operating in a pandemic world, and may have to follow shared responsibilities to keep us all safe, which may include masking, vaccination, and screening tools, as needed for in person meetings and events. *
We often meet around 6pm in person at our office in Bridgewater, or by Zoom, or by doing both. We do have some flexibility.
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Experiences and Background
We'd love to know more about you. Feel free to share as much information as you'd like about your professional background or personal qualities.
We're excited that you're interested in our organization. What about this opportunity interests you the most? *
Check any of the skills you have, keeping in mind that we don't expect you to have them all, and that organizations flourish when we all bring unique gifts to the table. Feel free to check something off, whether you're a rookie or expert.
Discuss any relevant experience you can bring to our organization. Feel free to draw on both personal and/or professional experience. While we welcome the sharing of lived experiences, we also understand that you may not feel comfortable disclosing those at this time, in this form. *
Submit your cover letter or resume by copying and pasting (or give us a link to a virtual copy like your LinkedIn profile). This is not a requirement, though. However, you may find it the best way to share your skills and education.
If you have a few references, please add them here.
Anything else you'd like to tell us?
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