Request edit access
Board Member Application (Diversified Family Supports Society) 
Thank you for your interest in joining our board of directors with Diversified Family Support Society.  

Our mission statement: To provide families and Individuals (with Neurodiversity, Special Needs, and Neurodivergence) in the Kamloops and surrounding areas with: support, inclusion, resources, advocacy, awareness and community opportunities.

Our board members actively provide valuable insights to the projects, community services, and outreach initiatives undertaken by our Society.

This opportunity enables you to support the diverse community, amplify the voices of its members, and contribute to creating a more inclusive and connected environment.
Sign in to Google to save your progress. Learn more
Full Name (First and Last) 
Email Address  *
Full Mailing Address  *
Phone Number 
What motivates you to pursue membership on our board? *
Have you ever participated on a Board of Directors before? (If yes, please describe)  *
What is your connection to the Diverse community? (Yourself, children, support provider, etc.)  *
Please outline any pertinent experience you possess that you consider would contribute positively to  the Society:  *
Describe some of your strengths and qualities that you feel would be relevant as a member....... (example: finance, leadership, administration, public speaking... etc.)  *
How much time are you able to commit to the role as a board member?  *
Are you willing to volunteer at community events and activities?  *
Anything else you would like to share with us?  *
Would you be willing to have a criminal records check completed?  *
List 2 References that we are able to contact on your behalf (Include emails or phone numbers)  *
THANK YOU FOR YOUR INTEREST!
We appreciate your taking the time to fill out this application.  Applications are reviewed on a bi-monthly basis as member spots are available.   Only applicants that are selected will be contacted.     
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms