Friends of the Pocatello Animal Shelter

Application for Prospective Board Members

Applicant Information

Full Name:

Last Name

First Name

Date required

Address:

Street Address

Apartment/Unit #

City

Phone

State

Zip Code

Residence and Work in Pocatello

Years Lived in Pocaello

Current Occupation

Current Employer

Educational Background

High School

From

College

From

Address

Did You Graduate

Yes

Diploma

Address

Did You Graduate

Yes

Degree

Educational Background

Other

From

Address

Did You Graduate

Yes

Degree

References

Please list at least one and up to three references

Full Name

Company

Relationship

Phone

Address

Full Name

Company

Relationship

Phone

Address

Full Name

Company

Relationship

Phone

Address

About You

Please tell us a little bit about yourself - hobbies, interests, and what led you to apply today:

References

Your Skills & Availability

About You

Please tell us about the skills, community contacts/networking that you think would be beneficial to the board. Please include the amount of time (hours/month) that you estimate you would be able to spend a month on board member activities:

Your Goals

How do you see yourself helping the board and the shelter? What would you like to see happen once you join us? We welcome your ideas/input: