| PERSONAL INFORMATION (for office use only) | |
| Current Board Position: | |
| Number of years on CWF Board of Directors: | |
| I prefer that communications be sent to my: | |
| CWF may telephone me at: | |
| Name: | |
| Nickname: | |
| Home Phone #: | |
| Work #: | |
| Cell #: | |
| Fax #: | |
| Preferred Email Contact: | |
| Home Address: | |
| City: | |
| Province: | |
| Postal Code: | |
| Occupation: | |
PLEASE PROVIDE A SHORT BIOGRAPHY ABOUT YOURSELF THAT WE MAY USE AS INFORMATION FOR OUR WEBSITE. Please include any of the following information such as: | |
| Previous positions held in CWF or Affiliate: (include position, organization and dates) | |
| Previous positions held in other organizations: (include position, organization and dates) | |
| Awards and Citations: (include title of award, organization and year presented) | |
| Community Service Activities: (please list and describe) | |
| Hobbies: | |
| Conservation words of wisdom: | |
| Successful conservation initiatives you’ve worked on: | |
| Any work with youth on conservation initiatives: | |
| Date: | |