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* 1. First Name

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* 2. Last Name

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* 3. Where do you reside in Nova Scotia?

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* 4. What is your connection to Self-Help Connection?

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* 5. What is your current profession?

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* 6. What is your background in finance?

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* 7. What are the skills you bring to SHC aside from financial strength?

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* 8. Why does this opportunity interest you?

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* 9. Are you currently serving on another board?

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* 10. Can you commit to a meeting very 4-7 weeks?

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* 11. Is there anything else you would like to add?

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