Advisory Board Application

Name

Street Address

City / Town

State/Province/Region

Postal / Zipcode

Personal Phone Number

Work Phone Number

Current Employer (Company / Organization Name)

How Many Years Have You Been Employed?

Current Position Title

How Many Years Have You Been In This Current Position?

Please list any other previous positions in animal welfare:

Please Upload Your Current Resume

Please list any civic or professional associations that you are a part of or affiliated with:

Do you have experience sitting on a governing board?

Yes No

If yes, which boards? Please list if its a current or past position.

Are you currently or have you recently been involved in any non-board related volunteer work?

Yes No

If yes, what committee or officer roles have you participated in?

Are you currently or have you recently been involved in any non-board related volunteer work?

Yes No

If yes, please briefly describe the volunteer work.

What special skills or knowledge would you bring to the advisory council?

We are looking for new advisories to service on the following committees. Please select which committees you would be interested in joining.

Our board/advisory council meets every month virtually for an hour, with minimally one in-person meeting around December of each year. Most committees also meet in the interim monthly virtually. Are you able to commit this amount of time to meetings and the other work necessary in governing this organization?

Yes No

Our board/advisory council holds an annual 2 day retreat (usually in early June). Are you able to attend this event? (Please note that hotel & travel costs are not covered by the NEFHS board.)

Yes No

The board/advisory council produces the annual 3 day training conference (usually in March/April). Are you able to attend this event? (Please note that hotel & travel costs are not covered by the NEFHS board.)

Yes No

Please describe why you are interested in serving on the NEFHS advisory council. Tell us what specific skills, experiences, and areas of interest you will contribute to the NEFHS.

How did you hear about this position?

What are your professional goals?

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Advisory Board Application

Advisory Board Application

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