BOARD MEMBER APPLICATION

Thank you for your expression of interest in a position on our Board of Directors. Please complete this application using additional pages if required. Note that specific skills, knowledge and experience are required by the OSC Board in aggregate and do not necessarily need to be possessed by each Director.

Question Title

* CONTACT INFORMATION

Name

Address

City/Town

Province

Postal Code

Email Address

Phone Number

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* WORK INFORMATION

Company

Address

Work Phone

Work Email

Job Title

Question Title

* LEVEL OF RESPONSIBILITY IN YOUR ORGANIZATION (CHECK ONE):

Executive Management

Mid-Management

Operations

Question Title

* Summarize your experience with and/or interest in 1) A Not-For-Profit and 2) our organization.