Date *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have time to attend monthly board meetings? *

Yes

No

All board members must be actively involved in one or more of the standing committees (Executive, Finance, and Nominating.) Are you prepared to make this commitment? *

Yes

No

Individual directors must be current members of the organization and are expected to contribute to the cause of Grey Face Rescue. Are you able to contribute? *

Yes

No

Directors are expected to act professionally and comply with applicable rules of conduct and procedure. Are you willing to make a good-faith effort to comply? *

Yes

No

Directors are elected to serve a one-year term. Are you willing to serve as a director for one (1) year? *

Yes

No

I understand and agree that submitting this application does not automatically register me as a Board Member for Grey Face Rescue, and that there are certain qualifications I must meet before I may begin my term. By submitting this form, I attest that the information I have provided is true and accurate. *

I Understand