Name

First Name

Last Name

Pronouns

Laurier Student ID / LSPIRG Community Membership Number

Tell us a bit about yourself

Have you engaged with LSPIRG before? If so, how?

Why do you want to be on the LSPIRG Board of Directors?

What skills or experience do you have that would benefit LSPIRG and our community?

Being on the Board entails a commitment of approximately 15 hours per month. Would you be able to commit to this level of engagement?

I hereby confirm that I am a member of LSPIRG. I am declaring my candidacy for the position of Board of Directors. I have read and understand the responsibilities of the position. I will comply with the appointment and election policies and procedures dictated to me.

Yes, I confirm

Board of Directors Application Form