BCPWA BOARD OF DIRECTORS

Nomination Form

1)  Name:
2)   Membership/Card Number:
3)   Why are you seeking a position on the Board of Directors of BCPWA? Please limit your answer to the space provided:
4)   In the space below, please provide a brief resume of your accomplishments and experiences. For example, tell us about: your experience serving on a Board of Directors, or serving as a staff member or volunteer under a Board of Directors; your experience serving on committee(s); what AIDS-related experience you have, and; what skills you would bring to the BCPWA Board (eg: advocacy, fund development, policy development, AIDS activism, etc)
Member Nominating You (Please Print):
Their Membership/Card #:
Contact information:
Your Email Address:
Your Phone Number: