CAC Board of Directors

Board of Directors Application
Name*

FirstLast
Email Address*
Primary Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different from physical address)

Street Address

Street Address Line 2

CityState

Zip Code
Your date of birth:*

MonthDayYear
Date
Employer and job title/position?
Reference:*

First NameLast Name
Reference Phone:*

Area CodePhone 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?*
YesNoOther
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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Board of Directors Application