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. OK Question Title * CONTACT INFORMATION Name Address City/Town Province Postal Code Email Address Phone Number OK Question Title * WORK INFORMATION Company Address Work Phone Work Email Job Title OK Question Title * LEVEL OF RESPONSIBILITY IN YOUR ORGANIZATION (CHECK ONE): Executive Management Mid-Management Operations OK Question Title * Summarize your experience with and/or interest in 1) A Not-For-Profit and 2) our organization. OK NEXT