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PETERBOROUGH/NORTHUMBERLAND
VICTIM SERVICES
SUPPORTLINK AND VQRP

APPLICATION
BOARD OF DIRECTORS

Our Nominating Committee will process all applications received.
The Board thanks all those who reply, however, only those selected for an interview will be contacted.

Name
First:
Middle:
Last:
Address
Street and Unit:
City:
Postal Code:
Phone Number
Home:
Business:

Cell:

History of volunteer work, employment or other interests, listing dates and responsibilities (this experience need not be in Canada):

What areas of the Board's work are of particular interest to you:

How will being a member of the Board of Directors be good for your personally:

From our experience, the Board of Directors spends approximately 10 hours per month on PNVS work.  Depending on your level of involvement and commitment, this time may increase.  Do you see this as a problem?:
References
Please supply three references.  At least one should be from someone with whom you have worked in an employment capacity or as part of a group.
Name:
Phone Number:
Relationship:
Name:
Phone Number:
Relationship:
Name:
Phone Number:
Relationship:

To the Board:
Please allow my name to stand for nomination to the Peterborough/Northumberland Victim Services (PNVS) Board of Directors.  I am willing to commit my time to the work of PNVS.  By submitting this application, I hereby give PNVS permission to contact my references (above).

The Board of Directors welcomes diversity.  Applicants must reside in the counties of either Peterborough or Northumberland.  All applicants must be 19 years of age or more and be Canadian citizens.

 

  

  


  Please advise the Executive Director of the submission of your application (to ensure it has arrived); or for further information atsupport@vcars.on.ca.

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