Name *

Email *

Phone Number *

What motivates you to serve as a member of the board for the BBPA? *

What special qualifications and/or skills would you bring to the board? *

Please describe your past board experience (including the types of boards on which you have served/participated). *

Area(s) of expertise/contribution that will support your position as a BBPA Director: *

How would your contribution to the BBPA be (1) visible and (2) measurable? *

Name other current volunteer commitment(s), if any: *

The Board of Directors seeks a complementary balance of knowledge, skills and experience at a Governance Level. Please identify those areas in which you have basic or advanced competencies: *

Please check Board Position(s) of interest: *

Are you available for monthly board meeting on Thursdays? *
YesNo

Do you consent to a background check? *
YesNo

Are you 18 years of age or over? *
YesNo

First Reference Name

Telephone Number

Email Address

Relationship

Submit your cover letter or resume

Second Reference Name

Telephone Number

Email Address

Relationship

Please include a current resume to your application

By submitting this application and a resume, I declare that: *
I meet the eligibility criteria and accept the conditions of nomination as delineated.
I certify that the information in this application and in my resume is accurate and true.
I understand that acceptance as a board member includes joining the Membership of the Organization.