Board Member Application

First Name:
Last Name:
Postal Code:
Expertise and Experience
Areas of Expertise
(select all that apply)

Industry Experience
(select all that apply)

Additional Information
Why you are interested in board connect?
Tell us about yourself (education, skillsets, experiences etc.)
What is important to you?
Do you have any hobbies?
Do you have any volunteer experience?
Have you sat on a board?
Are you looking to be a Board Member/Ex-Officio or Committee member?
(select all that apply)

Are you only interested in certain types of organizations?
Do you have any specific organizations you are interested in?
Are there any organizations that might be a conflict of interest?
How often can you meet?
(select all that apply)

What time can you meet?
(select all that apply)
Are you looking for this to help you professionally?
When are you looking to start?
Please attach your resume.

LinkedIn (if applicable)

Include website (Ex:[username])