Board of Directors Candidate Application Form

Is being on a Board for me? Click here to answer our Board Interest questions.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Relevant experience and/or employment

If you've had previous experience on a board, please explain below

Please describe why you would like to join Muskoka Seniors as a Board Director?

What contributions do you think you could make as a director of Muskoka Seniors?

Other non-profit and/or community organizations you are currently involved in

References

Reference Name

First Name

Last Name

Relationship to reference

Reference Phone

(###)

###

####

I hereby authorize Muskoka Seniors Board of Directors to contact the individuals listed above to obtain any such information as is deemed appropriate to their consideration of this application and I further agree to complete a vulnerable sector screening.

Date

YYYY

Type your name here to digitally sign this document