OUR BOARD

Name	Board Position
Amy Shields	Chair
Jennifer Maas	Vice Chair
Don Speers	Treasurer
Ange Billings	Member at Large
Sara Hipson	Member at Large
Carly Miller	Member at Large
Gordon Nicholson	Member at Large
Jessica Grabowski	Member at Large

In preparation for our Annual General Meeting each May, we look to recruit potential new board members to fill vacancies.

Please fill in an application if you are interested in joining our board of directors at the next May AGM.

Any questions, please contact centrewellington@bigbrothersbigsisters.ca

Name*
Address
Occupation
Preferred Phone Number
Email Address
Preferred method of contact
Have you been on any other boards? If yes, where and what was your experience?
Previous volunteer experience? (memberships in associations, service clubs, social clubs, church work, etc.)
In your previous volunteer work, what did you enjoy the most?
What did you enjoy the least?
Please list your personal interest, hobbies, special skills or other interesting facts about yourself.
What skills do you bring to the Big Brothers Big Sisters board of directors?
Have you ever been asked to resign from a volunteer position? Why?
What organizations are you involved with now?
Please list any possible conflicts of interests relating to Big Brothers Big Sisters of Centre Wellington. These interests include but are not limited to business, commercial or financial interests pertaining to the organization and/or the individual, their family members, friends or former, current or prospective volunteers
We ask that all board members sit on two committees. Will this be a problem?
Do you have flexibility in your life responsibilities to attend:
Ctrl and Click all that apply. This is generally speaking. For example, if you work a 9am to 5pm job that doesn't allow flex time, we don't expect that you will toggle morning meetings or possibly late afternoons. Young children and single parents have difficulty making morning meetings, generally speaking. This doesn't exclude you in any way, it helps us understand what else you have going on.
Employment Reference - should know you for at least 2 years (name, phone, address
Family Reference - should know you for at least 2 years (name, phone, address, relationship to applicant)
General Reference- should know you for at least 2 years (name, phone, address, relationship to applicant)
Is there anything else you want us to know before we meet?
I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for inducting me, or for discharge should I be accepted. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for acceptance. I also authorize you to request and receive such information. In consideration for my acceptance, I agree to abide by the rules and regulations of the organization, which rules may be changed, withdrawn, added, or interrupted at any time, at Big Brothers Big Sisters of Centre Wellington's sole option and without prior notice to me.*

Please type your name to confirm acceptance.