Renfrew Park Community Association Nomination Form Renfrew Park Community Association Director Nomination FormName(required)Address (required)Email address(required)Statement of Interest(required)Relevant skills, abilities and experience(required)Professional Certification/Technical SkillsWhat program(s) have you been involved with at Renfrew Park Community Centre?(required)How did you hear about this opportunity?(required)Volunteer HistoryName of organization? Responsibilities?Statement of NomineePlease 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 understandPlease email a copy of your current resume to RPCAnominations@gmail.comI am/have:At least 18 years as of November 23rd, 2024A current member of the AssociationTies to Renfrew catchment areaNot 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 bankruptcyNot 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 youNot EligibleYou are a current director of another Community Centre AssociationYou are a candidate or nominee for a political partyYou are not eligible if you meet any of these criteriaAs 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 arisewill comply with the Constitution and Bylaws and any policies set by the directors check all boxes that may apply to youSigned,Declaration of applicantNominee(required)Date(required)RPCA WitnessA current member of the Renfrew Park Community AssociationWitness Contact InfoType the characters(required)Submit ApplicationThis field should be left blank