Board of Directors Application Form
Application to apply to be on the Board of Directors at the Victoria Disability Resource Centre.
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First & Last Name *
Pronouns
Phone Number
Cell Number
Address *
Email Address *
Briefly describe why you would like to join our Board of Directors: *
Your current organizational affiliations (names of the organization and your role(s):
Reflecting the organizational principles of the consumer controlled independent living movement, VDRC bylaws require that 51% of the board be persons with disabilities. Do you identify as a person living with a disability? *
Required
Which of your skills would you like to utilize on the Board? Check those that apply: *
Required
As a board member, you will be required to fundraise. Fundraising is not just asking people to donate money. There are many other forms of fundraising that board members can do. Which of the following can you commit to?
Clear selection
What would you like to get for yourself out of your participation on the Board, ex: what types of experiences, skills to develop, interests to cultivate for you, etc.?
If you have identified a real, potential or perceived conflict of interest, please note it here:
If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests? *
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