5302 DeSiard St Monroe
, LA
71203
,
info@rivercitiescats.org
(318) 343-3031
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Board of Directors Application
Board of Directors Application
Application for Appointment to the River Cities Humane Society for Cats Board of Directors
Thank you for your interest in serving as a member of the Board of Directors of River Cities Humane Society for Cats, a 501(c)(3) non-profit organization. The requested information about your interests and experience will allow Board members to determine if your qualifications fit the current needs of the Board. We will contact you as soon as possible.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Guam
Hawaii
Idaho
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Nebraska
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Occupation
*
Employer
*
Cell Phone
Work Phone
Email
*
Work Email
Please check the skills and interests you can contribute to our board
*
Select All
Accounting
Animal Rescue
Fund-raising
Website
Planning
Management
Marketing
Education
Clerical
Newsletter
Public Relations
Facilities Maintenance
Public Speaking
Hands-on Shelter Work
Legal
Other (Please Specify)
Other
Are you a member of any other local or national humane organizations?
*
Yes
No
If yes, please specify
Have you ever served on a board?
*
Yes
No
If yes: On what board(s) have you served; for how long; and in what capacity?
In what animal welfare activities are you currently involved in or have you been involved in in the past?
*
Do you currently have any pets?
*
Yes
No
If so, please describe.
How many hours per month, in addition to board meetings (the board meets once a month for approximately 2-3 hours each time), can you serve this organization?
*
Why do you want to serve on the RCHSC Board?
*
References
Name
First
Last
Phone
Email
Relationship
Name
First
Last
Phone
Email
Relationship
Name
First
Last
Phone
Email
Relationship
Consent
*
I understand that the selection of new Board members will be made by a majority vote of the existing Board on an interim basis and ratified at the board meeting.
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