Board Application - Algoma Family Services

Name *

First Last

Email *

Phone *

Address *

Street Address Address Line 2 City Postal Code

What motivates you to become a board member for the Algoma Family Services *

What special qualifications and/or skills would you bring to the board? *

Please describe your past board experience ( If Any - including the types of boards on which you have participated).

If This is your first time applying for a board position please leave this blank

Please describe your understanding of a board member’s role with Algoma Family Services

References ( Please provide 2 )

Name	Relationship	Phone	email

Please provide two references that are familiar with your previous board or committee experience. Click the ( + ) icon to add a new line.

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