Board Member Application

Personal Information

First Name

Last Name

Address

Country/Region

Address

City

Zip / Postal code

Phone

Employment & Professional Background

I consider myself to be:

Employed

Self-Employed

Retired

Brief description of professional experience:

Previous Employment

Why are you interested in serving on the SWCHS Board of Directors?

Why do you feel you would be an asset to the organization?

Are you able to attend monthly board meetings?

Yes

Are you willing to volunteer during events and fundraisers?

Yes

Approximately how many hours per month can you commit to this position?

Do you have any potential conflicts of interest?

Yes

Disclosure

I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that submitting this application does not guarantee appointment to the South Wood County Humane Society Board of Directors.

If selected to serve on the Board of Directors, I agree to uphold the mission and values of the organization, act in the best interest of South Wood County Humane Society, maintain confidentiality, disclose any conflicts of interest, and fulfill the responsibilities of board service with integrity, professionalism, and respect.

I understand that board service includes fiduciary responsibilities and a commitment to active participation in meetings, committees, community outreach, and organizational support.