Call for Nominees To The Board of Directors Empower, The Disability Resource Centre

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Name & Pronouns of Nominee *

Address *

Phone: (Home)

Phone: (Work)

Email Address *

Please provide a brief statement explaining why you would like to be on the Board of Directors of Empower, The Disability Resource Centre. *

Please share the skills that you have that you would bring to the Board and organization as a whole
*

List your previous volunteer experiences including previous Board experiences with other organizations. *

Please list any disability issues you're interested in?
Examples include: Home Supports, Community Engagement, Transportation, Housing, Peer Support, etc.

Are you currently involved with Empower, The Disability Resource Centre?

Yes

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If so, how have you been involved with Empower, The Disability Resource Centre *

Does the nominee require any accommodations to participate as a Board Member?

What does Independent Living mean to the nominee? *

Is there any additional information you'd like to share about the Nominee?

Please identify the name and email address of the person making the nomination.

Submit your Nomination to:
Deadline for submission is
August 15, 2024

Empower, The Disability Resource Centre
Nominating Committee
4 Escasoni Place
St. John's NL A1A 3R6

ATT: Kathy Hawkins, Executive Director

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