Renfrew Park Community Association Nomination Form Renfrew Park Community Association Director Nomination Form Name(required) Address (required) Email address(required) Statement of Interest(required) Relevant skills, abilities and experience(required) Professional Certification/Technical Skills What program(s) have you been involved with at Renfrew Park Community Centre?(required) How did you hear about this opportunity?(required) Volunteer History Name of organization? Responsibilities? Statement of Nominee Please disclose all personal/business/employment relationships with the Society and its employees, suppliers, contractors and Directors as well as all conflicts between the nominee's personal interest and those of the Society. Resume(required) Yes, I understand Please email a copy of your current resume to RPCAnominations@gmail.com I am/have: At least 18 years as of November 19th, 2022 A current member of the Association Ties to Renfrew catchment area Not been convicted of any offense relating to financial dishonest for which no pardon has been granted Not been declared by a court to be incapable of managing their own affairs or person or both Not in an undischarged bankruptcy Not been convicted, in Canada or elsewhere of an offense involving fraud or financial dishonesty, and for which no pardon has been granted. check all boxes that may apply to you Not Eligible You are a current director of another Community Centre Association You are a candidate or nominee for a political party You are not eligible if you meet any of these criteria As a nominee for the Renfrew Park Community Association, I...(required) Have disclosed all personal, employment, and business relationships with the society and its employees, suppliers, contractors and Directors. Have disclosed all conflicts between the nominee's personal interests and those of the society; or will disclose any conflicts of interest as soon as they arise will comply with the Constitution and Bylaws and any policies set by the directors check all boxes that may apply to you Signed, Declaration of applicant Nominee(required) Date(required) RPCA Witness A current member of the Renfrew Park Community Association Witness Contact Info Type the characters(required) This field should be left blank Submit Application Please wait...