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Board of Directors Nomination Form

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Board of Directors Nomination Form Powered By Docstoc
					                           Board of Directors Nomination Form



 ((Please email the completed form to office@mainlandbcmfrc.com or fax it to us
                                       at 604.666.4290)


                           NOMINEE CONTACT INFORMATION

Name: Dr./Mr./Ms.   _________________________

Address: ___________________

City: ______________       Province: ___________ Postal Code: ___________

Telephone: ____________      Fax: ___________ Email: ______________



                         NOMINEE EXPERIENCE AND BACKGROUND

Current employer: ______________________________

Position: ______________________

Education level: (Please circle)

a)High School/GED     b)College Degree c)Graduate Degree       d)Post Graduate Degree


Professional experience:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Other experience: (personal, volunteer, or non-professional)

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Nonprofit Board experience:

Has the nominee ever served on a nonprofit Board of Directors?    Yes/No

If yes:
      Indicate total years of membership __________
      Ever served as a Board Officer? Yes/No
      Indicate Board Committees in which you served on:
______________________________________________________________________________________
______________________________________________________________________________________

INTEREST IN MAINLAND BC MFRC:

Why would you want to serve as a Director on Mainland BC’s MFRC Board?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
____________________________________

Please indicate which of the following skills/experience/expertise you may have in the below
mentioned areas. (check all that apply)

a)Advocay and Development Programs
b)Accounting and Finance
c)Legal, especially nonprofit
d)Military expertise/familiarity
e)Business, Business administration, especially nonprofit
f)Community Development
g)Fundraising, marketing, and public relations, and/or organizational development

What area of Board work might the nominee be most interested in? (check all that apply)

a)Board Policy and Governance
b)Personnel
c)Finance
d)Board Development
e)Fund Development/Marketing
f)Programs
g)Advocacy
h)Other (please describe)

OTHER INFORMATION (OPTIONAL)

_____________________________________________________________________________
_____________________________________________________________________________
___________________________________________________________________________



Nominee’s Signature: ___________________________

Date:_________________________

				
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