Board Nomination Form

Hello!

Thank you for your interest in serving on the Prince William SPCA Board of Directors. We are an all-volunteer organization with no paid staff. Our Board oversees operations and makes decisions based on the needs of companion animals in the community.

Please use this form to provide us with information that will help us best assign Board positions. This information is confidential, never shared. It is used to evaluate potential candidates for the Board. Please be truthful and thorough.

New board members serve one-year terms so please be sure you are committed before filling this information out. We provide orientation to all new board members prior to their first meeting.

All board members are required to sign a non-disclosure agreement and adhere to board policies.

Thanks!

The Prince William SPCA

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Why should you be considered for the Prince William SPCA Board of Directors? *

Do you have any pets? If so, please list their names and ages.

Have you ever been charged or convicted of a crime involving animals: *

Yes

List all the current and previous boards and committees you have been affiliated with. *

Paid and volunteer capacity.

Are you bilingual (English/Spanish)?

Yes

Which statements most fits your lifestyle:

I have a very flexible schedule.

My schedule is flexible certain times a year.

I work during the day so I am limited to weekend activities and an occasional weeknight meeting.

I am busiest on the weekends but can week days or evenings are flexible.

Are you or have you ever been a volunteer with the Prince William County Animal Shelter or any other shelter? *

Please list shelters and your role(s).

Are you or have you ever been a volunteer with Prince William SPCA? *

Please list your experience, if any.

How much time would you like to spend on each month serving on the board: *

Less than 1 hour

2 Hours

3-4 Hours

5+ Hours

Anything else we need to be aware of?