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Board Member Application Form

Section 1: Your Contact and Demographic Information


Section 2: Your Background Information

Current Employment Status:

Section 3: Mission Alignment

Section 4: Governance

Do we have your permission to contact the organizations above to ask about your board service with them?

The minimum expectations for board members are listed below. Please confirm your ability and willingness to meet each.

If selected for the board:

Thanks for applying to become a Mentor with Crossroads for Prisoners Canada! We'll get back to you soon.

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