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Application for Board of Directors

For

At^lohsa Native Family Healing Services Inc.
109-343 Richmond Street
London, Ontario


N6A 3C2

 

Thank you for your interest in becoming involved on the Board of Directors (or as a member of a Standing Committee) of At^lohsa Native Family Healing Services Inc.

We are asking people who are interested in applying to become a Board Member to please fill out the following questionnaire.  This helps us to know what your background, skills and interests are:

Serving as a Board Member does require a person to be willing to make a substantial commitment in time, energy and responsibility.

Another just as important was to contribute, if you would like to be involved with At^lohsa, but do not want to be a Board Member is to join one of our Standing Committees. This would give you the chance to participate and gain experience with our organization.  Sometimes those who have served on committees then go on to become Board Members, (if they choose).

We appreciate your interest and time in filling out this questionnaire.  We will get back to you as soon as possible to discuss your future involvement with At^lohsa Native Family Healing Services Inc.

Today’s Date
 

 

Name

 

Address

 

Telephone

 

  
Application for Board of Directors
Page 2

How do you know about At^lohsa agency?

 

 

What is your understanding of why family violence occurs?

 

 

What interests you in being involved with At^lohsa Native Family Healing Services?

 

 

What kind of skills or abilities would you be bringing to At^lohsa?  (ie: financial, organizational, legal, medical, etc. or traditional values, knowledge of family violence, objective, unbiased, etc. or any other special abilities)

 

 

Please check below of what area of the organization would you like to be involved in:

Standing Committees (if committee, Please check your interest)

 

Fundraising

 

Membership

 

Finance

 

Personnel

 

 

 

Application for Board of Directors
Page 3

*If your interest is on the Board, please answer the following questions:

Do you have previous Board experience? (With this or another agency).  If so when and where?

 

 

Have you ever participated in any Board training or development?

 

 

Would you be willing to participate in any further training?

 

 

What is your understanding of the role and functions of the Board?

 

 

What are your particular interests in serving on this Board?

 

 

Any other comments you would like to make?

 

 

Again, thank you for your time and interest!


 

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