Souris Valley Humane Society

Board Of Directors Application Form

Name:_______________________________________ Home Phone:  (        )          -______

Address: _____________________________________ Work Phone:   (       )          -______

Date: _______________________________________  Email: _______@______________         

FEEL FREE TO USE THE REVERSE SIDE FOR YOUR ANSWERS

Relevant Experience and/or Employment: _________________________________________________________________________

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Why are you interested in our organization?

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What do you see as long and short-term goals? _____________________________________

_________________________________________________________________________

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Areas of expertise/contribution you feel you can make (fund-raising, animal related, other):

_________________________________________________________________________

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Have you had any personal experiences with SVHS? __________________________________

_________________________________________________________________________

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Other volunteer commitments: _________________________________________________________________________

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Please return this application in person to the SVHS Animal Shelter or mail to:

Souris Valley Humane Society

1935 – 20^th Ave SE

Minot, ND  58701