Board Application – Baypath Humane Humane

Your Information

Your Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone*

Your Email*

Employer Name*

Position Held*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Phone*

Please check any of the following skills that you feel you could bring to the board:*

If 'Other', please specify:*

Please tell us about any memberships to other organizations:

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Please list previous experience in, or with non-profit organizations.*

What were your major contributions to their mission? Have you ever served on a non-profit Board?

Are you willing/able to attend board meetings?*

They are held on the 2nd Tuesday of each month (October – June) at 7:00pm with each meeting lasting for up to 2 hours

Are you willing/able to serve additional hours as needed on one or more board committees?*

Why are you interested in serving on Baypath’s Board of Directors?*

What professional qualifications do you have that would be beneficial to the Board of Directors of the Baypath Humane Society?*

Check the committee(s) that you would be interested in serving on, if elected to the Board.*

Are you related to a current board member or employee of Baypath?*

Please specify*

Please upload your resume*

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