Personal Information: Full name Address City State/Province Zip/Postal Code (If Applicable) Country Phone Number Email Address LinkedIn Profile (If Applicable) Professional Background: Current Occupation Employer/Organization Years of Experience in Current Role Previous Work Experience (Relevant to nonprofit boards) Education: Highest Degree Earned University/College Name Major/Field of Study Year Graduated Skills and Expertise: Please describe your relevant skills and expertise that you would bring to the board (e.g., finance, legal, fundraising, strategic planning, marketing, governance) Board Service and Volunteer Experience: Have you served on a nonprofit board before? YesNo If yes, please provide details Do you currently serve on any nonprofit boards or committees? YesNo If yes, please provide details Motivation and Interest: Why are you interested in serving on the board of our organization? What motivates you to contribute to the mission of our organization? Availability and Commitment: How much time can you commit to board meetings, committee work, and other board responsibilities per month? Are you willing and able to attend board meetings regularly and participate in board activities? YesNo References: Reference 1: Name, Title, Organization, Contact Information Reference 2: Name, Title, Organization, Contact Information Declaration: I certify that the information provided in this application form is true and accurate to the best of my knowledge. I understand that any false information provided may result in the rejection of my application. Signature: Full Name Todays Date
English 
French