2025 AGM Board of Directors Nomination Form (North Durham Minor Hockey)

2025 AGM Board of Directors Nomination Form

Please complete the following form by June 17 to apply for a position on the North Durham MHA Board of Directors.

Please complete all questions

NAME^*

Required

Enter your full name. First, last

ADDRESS^*

Required

Enter your address. House/apartment number, street, PO Box

CITY/TOWN^*

Required

Enter the City/Town where you live

POSTAL CODE^*

Required

Enter your postal code

PHONE NUMBER^*

Required

Example: ###-###-####

EMAIL ADDRESS^*

Required

Example: [email protected]. Your submission will be sent to this address.

Please list any hockey or non-hockey board experience along with any other experiences or skills that would assist the board^*

Required

Please select all the position(s) you are applying for:

Voting-Elected Positions for a 2-year term maturing June 2027

Director of Coaches
Director of Women's Hockey (OWHA)
Director of Awards, Events and Volunteers
Referee in Chief
Director of Risk Management

Check All That Apply

If you applied for multiple positions - please list your preference in order