AWARE Board Member Application Personal Contact InformationName* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*FaxEmail* Would you like to add your work contact info (if applicable)?* Yes No Work (if applicable)Company Name* Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal code Phone*FAXEmail* QuestionsHow did you come to apply for a position on the AWARE Society’s Board of Directors? If someone contacted you, please specify.*Please summarize your experience with and/or knowledge of AWARE.*Did you receive the Board Membership Recruitment Information Package? Do you have any questions or concerns about the information or serving on our Board?*Why do you want to be a Board Member for AWARE?*Please outline your experience as a volunteer board or committee member. Please list one or two highlights from your experiences.*May we contact organizations and people where you have served on boards or committees previously to discuss your board/committee work? If yes, please identify the organization and a contact person with telephone number, if possible.*Do you have contacts, areas of influence or interests that could benefit the organization?*Is there anything you would rather not do as a board member?*Skills/Talents/Knowledge/ExperienceWhat skills, talents, knowledge or experience are you willing to share with AWARE? Please indicate your expertise by placing a checkmark in the appropriate column.Strategic planning, mission, vision*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceFund Development*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceProgram planning and evaluation*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceBoard development (recruitment, training, evaluation)*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceKnowledge of client base in at least one program area*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceFinancial management and control (budgeting, accounting)*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceRecruiting, hiring and evaluating personnel*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceConflict resolution, conflict management*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceCommunication, public and media relations*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceParticipation in interagency committees*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceLaw*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceOrganizational development*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceInformation technology*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceStakeholders relations*Select oneVery ExperiencedSome ExperienceLittle or No ExperienceDo you have a resume that you'd like to submit?* Yes No ResumeIf you have a resume that you would like to submit, please attach it here.FileMax. file size: 20 MB.
