Board of Directors Application Form

Board of Directors Application Form
I, the undersigned hereby apply to be considered for election to the Lighthouse Festival Theatre (LFT) Board of Directors. In so doing, I acknowledge and declare that: (please check each statement below to indicate your acknowledgement)

I am at least 18 years of ageI am not an undischarged bankruptI have not within the past two years been an employee of LFTI do not live in the same household as an employee of LFT
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Resume*

Cancelof
Cover Letter*

Cancelof
I confirm that I have reviewed all the information provided on the Lighthouse Festival Theatre website regarding this opportunity. I acknowledge that elected Directors of Lighthouse Festival Theatre will support the Mission, Vision and Core Values of the Lighthouse Festival Theatre, will advise the Board of LFT if there is a circumstance that would cause them to automatically vacate the office of Director, will abide by the conflict of interest and confidentiality provisions governing Directors, will cooperate with and assist the Board to fulfil its responsibilities and will support carried Board decisions.
Signature*

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Should be Empty: