Online Board Member Application

top of page

CHRIST-CENTERED RELATIONSHIPS CHANGE EVERYTHING

CROSSROAD FOR PRISONERS CANADA

HOME
ABOUT US
- STATEMENT OF FAITH
- IMPACT REPORTS
MENTORSHIP PROGRAM
GET INVOLVED
CONTACT
More

Use tab to navigate through the menu items.

Donate

Board Member Application Form

Section 1: Your Contact and Demographic Information

First name

Last name

Phone

Street Address

Street Address Line 2

City

Province

Postal code

Country

Birthday

Race/Ethnicity

Gender

Female

Male

Prefer not to say

Section 2: Your Background Information

Current Employment Status:

Full-time

Part-time

Seeking Employment

Retired

Other

Employer Name (if employed)

Years with Current Employer

Years in Current Field

Current Occupation

What is your professional background?

What other volunteer positions have you held?

Please list your degrees (including the school):

Section 3: Mission Alignment

In what ways have you interacted with our organization before applying for the board (examples: mentor, donor, etc)?

Why is our mission important to you?

Why do you want to be on our board?

What personal qualities and skills can you bring to the board?

What experience do you have that is related to our mission?

What fundraising experience do you have?

Section 4: Governance

If you have served on a board before, please provide the name, dates of service and reason for leaving for the three most recent board positions:

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

Yes

Not Applicable

Each year, every board member is required to disclose any potential conflicts of interest as a board member. Please describe any conflicts of interest you would need to disclose if you joined the board:

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

If selected for the board:

I will attend and actively participate in at least 10 of the 12 monthly board meetings.

I will make a personal annual financial gift at a level that is personally significant.

I will serve on at least one committee and attend at least 85% of the meetings.

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

PO Box 400, Jarvis ON, N0A 1J0 Canada

info@crossroadscanada.ca

bottom of page