Board Member Application Form

  • Board Member Application Form

    Please fill out the following information to apply for membership.
  • Format: (000) 000-0000.
  • DISABILITY STATUS As an Independent Living Centre, our By-Laws stipulate that at least 50% of the members on the Board of Directors must be persons with disabilities. Check the most appropriate statement to describe yourself.*
  • Please tell us if you are applying as an individual or as a representative of an agency that works for persons with disabilities:*

  • If you represent an agency, please tell us the name of the agency for which you work: 

     
     

     
     

  • Interests*
  • Preferred Membership Benefits

  • KNOWLEDGE OF DISABILITY ISSUES

    Members are chosen for their life experience with a disability and/or knowledge of disability issues.  It would be helpful for you to identify your experience with a disability or disability-related issues.  Describe your understanding of disability issues.

  • PREVIOUS COMMITTEE AND/OR COMMUNITY EXPERIENCE

    Please describe your current or past involvement with community advisory committees and/or boards.  Provide the names of at least one committee or organization you were involved with, the committee's purpose, your role on the committee, and some initiatives you worked on, including dates.

  • SKILLS AND ABILITIES

    List your education details, any skills you may have, achievements accomplished, and any experiences that would be a resource to RISE. 

  • NON-PROFIT EXPERIENCE

    Understanding the framework in which non-profits operate helps the Board of Directors. Please provide details of any experiences that have helped you develop an understanding of the non-profit sector.

  • NON-PROFIT EXPERIENCE

    Understanding the framework in which non-profits operate helps the Board of Directors. Please provide details of any experiences that have helped you develop an understanding of the non-profit sector.

  • VOLUNTEER COMMITMENT Any information you can provide about your availability would be helpful to the selection committee.  It is important to note that the time commitment for RISE’s Board of Directors is approximately 4-8 hours per month.  This includes attendance at monthly Board meetings and Committee meetings, as well as time for meeting preparation.*
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                Single

                Membership Fee

                $25.00CAD
                  
                Family

                Membership Fee

                $40.00CAD
                  
                Corporate

                Membership Fee

                $60.00CAD
                  
                Donation
                $50.00CAD
                  
                Donation
                $100.00CAD
                  
                Donation
                $250.00CAD
                  
                Total
                $0.00CAD

              • E-Transfer Payment to:  tgould@risercil.ca

              • Date
                 - -
              • Should be Empty: