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Board Member Application
On behalf MediaNB, thank you for your interest in board service. We are grateful that you have selected MediaNB as the organization through which you wish to contribute your valuable volunteer time. The following application offers us an opportunity to know more about you, your skills, attributes and what you would bring to our board. It also gives you a sense of what matters to us in our board candidates. Thank you for your interest in our work and for taking the time to complete this application with thought and care.
Name
First Name
Last Name
Pronouns
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Employer
Type of Business / Organization
Preferred method of contact
Work
Personal Phone
Experience
Past and Present Membership: Boards, committees, task forces in the public sector (business, civic, community, religious, political, professional, recreational or social)
Please list your past volunteering experiences below.
What experience do you have in the Media industry, past and present?
Our Work
What excites you about the work MediaNB is doing? Why are you interested in being involved?
Based on your knowledge and experience in the Media industry, what are 1-2 challenges and/or 1-2 opportunities that you can identify that MediaNB could play a role in?
Skills and Expertise
Please select the skills and expertise you will bring that will strengthen our board and enhance the ability of our organization to deliver on its mission.
Please add any other skills or expertise that you have that you feel could be beneficial for MediaNB.
Attributes
A board is more than a collection of individuals. It is an entity that governs, approves strategy and engages in robust discussion and debate on relevant issues; it must act as a single entity. As such, the personality traits you bring to the board will help us to ensure that we have a diversity of personality styles and traits that, when added to our current board members, will enhance the ability of the board members to work together as a governing body.
Please select your top three attributes from this list.
References
Please list two references who can speak to your strength as a board member.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please attach your most recent resume when submitting your application.
Is there anything else we should know about your abilities and your experience could bring to the MediaNB Board of directors?
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