APPLICATION FOR BOARD OF DIRECTORS

CONTACT INFORMATION

Name
Street Address
City, State, Zip
Home Telephone
Business Telephone

INTERESTS

The areas are you most interested in, check as many as apply:

___ Finances/Accounting
___ Shelter Operations
___ Advertising
___ Fundraising
___ Animal Care
___ Grant Research
___ Grant Writing
___ Volunteer Recruitment
___ Event Coordination
___ Other: __________________________

SPECIAL SKILLS OR QUALIFICATIONS

Summarize special skills and qualifications you have acquired from education, employment, previous volunteer work,
or through other activities, including hobbies and memberships in professional or civic organizations.







Signature

Name (Printed):

Signature:

Today’s Date: