Board Member Application

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Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Please describe any prior or current connection to and/or experience with AVHS*
Please describe any prior or current connection and/or experience with other animal welfare groups/shelters
Please list any skill sets, knowledge and/or certifications you possess that may be useful to the AVHS board
Please describe why you are interested in joining the AVHS board of directors
Please attach your Curriculum Vitae (CV) or Resume, preferably focused on board/volunteer experience
Max. file size: 64 MB.
Signature*
Date*
MM slash DD slash YYYY