Board of Directors – Candidate Form - Keystone Centre

Candidate Form

The Keystone Centre will be accepting applications until 12 noon on November 20, 2024 for two at-large members for our Board of Directors. Strong leaders and engaged community members are critical to the success of the Keystone Centre and are encouraged to complete the candidate form below.

Candidate Form - Board of Directors

Name(Required)

Home Address(Required)

Street Address City Province Postal Code

Business Address

Street Address City Province Postal Code

Home Phone(Required)

Business Phone

Email(Required)

Occupation

Reason for Interest in Board Position(Required)

Community Involvement i.e., organizations/associations:

Current(Required)

Past(Required)

General Information

Please provide any information regarding yourself that you feel would be pertinent to the role of director. i.e., hobbies/family

Comments

This field is for validation purposes and should be left unchanged.