Application - Kawartha Haliburton Victim Services Board of Directors

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Briefly describe your past involvement with other Boards, councils, committees and other related activities.

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* 3. List the top three reasons why you would like to join the Kawartha Haliburton Victim Services (KHVS) Board of Directors.

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* 4. Summarize your experience with and/or interest in our organization.

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* 5. Area(s) of expertise/Contribution you feel you can make (such as Law, Finance, etc.).

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* 6. What personal strengths would you bring to the KHVS Board of Directors?

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* 7. For our Board meetings we meet every second Thursday of the month, (excluding July/August) at 6:30 pm and they are approximately 2 hours in length. Are you willing to commit to this time?