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 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 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 If you are human, leave this field blank. Submit
