BOARD OF DIRECTORS APPLICATION • BOARD OF DIRECTORS APPLICATION • BOARD OF DIRECTORS APPLICATION • Thank you for your interest in serving on the CAPSAC Board of Directors. Please complete the following information to assist the Board in reviewing your application. Name * First Name Last Name Affliation/Agency * Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Nomination by (can be self-nominated) Number of years in the field Current APSAC/CAPSAC member? * Yes No Please select boxes for any relevant skills or interests applicant or nominee has Education Fundraising Legislative contacts Public relations/communications/social media Special Events Finance/accounting Grant writing Policy development/advocacy Technology Other If elected, I agree to (please check all that apply): Serve for a term of four years Attend at least two meetings per year Maintain my CAPSAC membership Make my own travel arrangements related to those meetings Contribute one article per year to the Consultant Serve on a CAPSAC committee Act in the best interests of CAPSAC members Thank you!