Board of Directors Application
Name
*
First
Last
Email Address
*
Primary Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
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South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mailing Address (if different from physical address)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your date of birth:
*
-
Month
-
Day
Year
Date
Employer and job title/position?
Reference:
*
First Name
Last Name
Reference Phone:
*
-
Area Code
Phone Number
Reference Email:
example; spouse, parent, sibling, friend, co-worker, etc.
Reference Relationship:
*
example; spouse, parent, sibling, friend, co-worker, etc.
Why are you interested in joining the Companions Animal Center Board of Directors?
*
Please describe any experience, skills, or areas of expertise that would benefit our organization.
*
Examples: animal welfare, nonprofit leadership, finance, fundraising, legal, construction/facility management, marketing, or community outreach.
Working collaboratively with peers is essential on a nonprofit board. Please briefly describe your experience working as part of a team to achieve a common goal?
*
Board service requires consistent participation and teamwork. Can you commit to attending monthly meetings and supporting at least one CAC event or committee each year?
*
Yes
No
Other
Have you previously volunteered with or supported Companions Animal Center or other nonprofits?
*
If selected to move forward, we may request a resume and supporting documents.
Signature
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Use your mouse or mouse pad to sign in the block.
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