Application information

Full Name *

Address *

Phone number *

Email *

Executive position applied for: *

Are you a resident of North Bay or willing to commute? *

Do you or an immediate family member play in the NBMGSA? *

If yes name of player

Have you ever volunteered for this association? *

If yes, when?

Do you have a clear vulnerable sector police check or are you able to obtain one? *

If no, explain

How many seasons are you hoping to participate with the NBMGSA executive *

Have you read and agree to the specific duties and responsibilities for the executive position to which you are seeking election *

Do you have any specific goals or ideas that you hope to implement in this position:

Previous Volunteer Experience

Group

Phone

Address

Supervisor

Position

From

To

Responsibilities

May we contact your previous supervisor for a reference?

References

Please list one professional reference

Full name *

Relationship *

Company *

Phone *

Address *

Email *

Disclaimer and signature

I certify that my answers are true and complete to the best of my knowledge. I am familiar with the requirements of the executive position that I am applying for as set out in the constitution of the NBMGSA and hereby confirm that if elected, I will complete those requirements to the best of my ability in a timing manner.

Signature *

Date *

Please verify that you are a human.