Board Nominee Information

Thank you for your interest in becoming a HAAC Board member. Simply fill out this form and submit it as soon as possible. Thank you!

First Name:	MI:	Last Name:
Gender: FemaleMale	Member: YesNo
Address:	City:
Province / State: ---ABBCMBNBNLNSONPEQCSKNTNUYT--ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY	Postal Code:	Country: ---CanadaUSA
Home Phone:	Work Phone:	Other Phone:
Fax:	Email:
Please describe your relevant experience with, and contribution to any organization(s).
Please tell us how you intend to contribute to the Board and to the mission of HAAC.
Please indicate your skills, experience, and / or interest in the areas below (check all that apply): Finance, AccountingEducation, TeachingResearchFundraising, Special eventsGovernance, AdministrationNonprofit ExperienceMarketing, CommunicationsGrant WritingCommunity EngagementLegal, Policy Development
Other:
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