Board of Directors Application Form BOD Application "*" indicates required fields Application Date* MM slash DD slash YYYY Name* First Last Contact Number*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What motivated you to seek a volunteer position as a Governance Board member with Inclusion Parksville?*What special interests or skills (education, work, volunteer experience) do you have to share as an Inclusion Parksville Society Governance Board Member? Accounting Finance Governance Health Care Law Grants Technology Fundraising Public Relations Marketing Advertising Building / Construction Non-Profit Government Community Services Supporting Adults with Developmental Disabilities Other Special Interests / Skills*Provide name of agency, position, and dates of position held of work or volunteer experience (or attach resume).*Please disclose any potential conflict of interest(s) that you may have while holding a director position at Inclusion Parksville. While this may or may not preclude you from obtaining a director position, it may require that you to withdraw or recuse yourself from certain discussions and/or decisions.Resume Upload and Cover Letter Drop files here or Select files Max. file size: 128 MB. Brief Biography for the AGM Package (100-200 Words Max.)Max. file size: 128 MB.