Prospective Board Member Interest Questionnaire

Bird Rescue Center Board Member Interest Questionnaire

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

Occupation *

Business Name

1. Do you have any knowledge, experience or direct involvement with organizations with missions similar to BRC? *

2. Describe any other community group(s) or organization(s) in which you have participated and please describe your role in each. *

3. What expertise/skills would you bring to the Board? *

4. Why do you wish to serve on the Board of Directors of BRC? *

5. How did you hear about our Board opening? *