Ontario 4-H Council Nomination Form, Board of Directors

Thank you for your interest in becoming part of the Ontario 4-H Council Board of Directors. Please complete the form in its entirety, including attaching your current bio and headshot. If you have any questions, please contact Evelyn Chambers at standards@4-hontario.ca

Nominee Information

Name of Nominee *

First

Last

Date *

Local 4-H Association *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email Address *

Please describe your history with the 4-H program *

Please list your 4-H Board and other board experience *

Please list your 4-H and non 4-H volunteer experience *

What skill set would you bring to the Ontario 4-H Council Board of Directors? *

Please explain why you would like to be a Director on the Ontario 4-H Council. *

Please attach current bio *

Click or drag a file to this area to upload.

Maximum one page double sided. This bio will be shared as part of the Ontario 4-H Council Annual General Meeting Package.

Please attach current headshot *

Click or drag a file to this area to upload.

Nominee Signature *

Clear Signature

Nominator Information

The Nominee must have support from a Nominator and a local 4-H Association representative.

Name of Nominator *

First

Last

Nominator Email Address *

Phone

Name of Local Association Executive, different from Nominator *

First

Last

Example: President, Vice President

Local Association Executive Email Address *

Phone

Please confirm *

By checking this box you are confirming that the Nominator has been contacted and supports the Nomination. They may be contacted by 4-H Ontario for confirmation.