* Indicates a required field. First Name* Last Name* Email Address* Contact phone number* Mailing address* City* Province* Postal code* Include your LinkedIn profile (URL) Please indicate which region you would like to be considered for* Atlantic (Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland)Central (Ontario)Western (Manitoba, Saskatchewan, Alberta, and British Columbia) Please indicate which sector(s) you have experience with (experience may be remunerated or volunteered)* Sport and recreationArts, culture, and heritageHuman/social servicesCommunity Foundations/United WayMunicipalitiesSmall rural or northern communitiesHealthEducationImmigration/newcomersCorporateNon-profitTourismOther: Previous board/committee service, leadership or volunteer experience: (50 words)* Are you currently a member of other boards?* YesNo If YES please list below: (50 words) We are seeking a diversity of perspectives on the Adjudication Committees. If you choose to self-declare, please indicate if you are: Under age 30 (note: must be 18 or older to be on the committee)Over the age of 55A newcomerA member of the BIPOC CommunityOtherPrefer not to answer Please attach your resume* Please list two (2) professional references that we may contact in regard to your application:* Reference 1: Reference 2: I have read and understand the requirements of being an Adjudication Committee member as outlined and confirm that I am able to fulfil those requirements if selected as a committee member. I hereby certify that the information provided in this application is complete and accurate:* YesNo Application deadline is December 23, 2020. All applicants will be notified of the status of their application. Inquiries should be directed to SBCCI@tropicanacommunity.org.