Committee Member InformationCandidate InformationName* First Last Email* Home Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home PhoneCell PhoneCandidate Biographical InformationPlease describe your related experience or knowledge in the following areas. It is not expected that you will possess experience/knowledge in all areas.Educational or Professional DesignationsWork ExperienceBoard and/or Committee ExperiencePublic Relations and CommunicationsFundraising and Special EventsTeaching Experience or Curriculum DevelopmentCommunity Involvement and Other InterestsCommittee* Events Government Relations Membership Services Professional DevelopmentPlease indicate which committee you are interested in.Candidate Summary Statement*Include what you would like the MBNLA Board of Directors know regarding your membership on a committee; skills, experiences, why you would like to serve on the Committee, etc. This statement, as received, or extracts of may be communicated to the Board of Directors as required.CommentsThis field is for validation purposes and should be left unchanged.
