APPLICATION FOR BOARD RECRUITMENT

Please complete all of the following fields for the position you wish to apply for.
* – Indicates a required field

    General Information

    *Last Name:

    *First Name:

    Middle Name:

    Address:

    Apartment/Unit number/ R. R. #:

    City/Town:

    Province:

    Postal Code:

    *Email Address:

    *Home Telephone Number:

    Cell Number:

    Additional Information

    * Do you currently reside on the Six Nations of the Grand River reserve?:
    YesNo

    *Are you a registered Six Nations of the Grand River member? Please provide your band name and number:

    *Have you declared bankruptcy?
    YesNo

    *Are you at least eighteen (18) years of age?:
    YesNo

    *Do you have regular access to email and internet?:
    YesNo

    *What is your level of proficiency with a computer and IPad:
    GoodSatisfactoryNeed training

    *Relevant Experience and/or Employment (attach a resume):

    *Why are you interested in the Development Corporation?:

    *Area(s) of expertise/contribution you feel you possess:

    Other volunteer commitments:

    * Resume Upload (.doc, .docx, .pdf, .rtf, .txt):

    * Applicant's Signature:

    * Date Signed: