Board of Directors/Executive Application Form Board of Directors/Executive Application Form Thank you for your interest in joining the Association of General Practitioners of Jamaica. (Not-for-profit) Board/Executive! Use this form to provide useful information about yourself, to ensure the best match between you and the College that you may be considered for its Board of Directors/Executive. Name Name First First Last Last Your Home Phone Number: * Cell number: * Your email address (please write it carefully): * Briefly describe why you would like to join our Board of Directors/Executive: * Your current organizational affiliations (names of the organization and your role(s): * Which position on the Board would you like to apply for? Check those that apply: * President Honorary Secretary Treasurer President Elect Vice President Asst Secretary Asst Treasurer Committee Chair Research Newsletter/Bulletin Editor Executive Liaison Officer Data Protection/Privacy Officer Which of your skills would you like to utilize on the Board/Executive? Check those that apply: * Board development Honorary Secretary Strategic planning Sponsorship Program development Financial management Fundraising Governance Community Services Training Marketing Membership Event Planning Advocacy Administration Information Technology Other skill(s) of yours that you would like to utilize? * If you join the Board/Executive, you agree that you can provide at least 2-4 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict-of-interest in participating on the Board. What would you like to get for yourself out of your participation on the Board/Executive, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.? * Your signature: * Date * 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 association in various ways that match your skills and interests? * Yes No Perhaps reCAPTCHA Submit If you are human, leave this field blank. Δ
