Board Application

First Name*

Last Name*

Company*

Address*

Street Address Address Line 2 City State / Province ZIP / Postal Code

Phone*

Email*

Why are you interested in serving on the APDT Foundation Board of Trustees?*

Please type in or paste a personal biographical statement:*

Please explain your personal commitment and involvement in animal-related issues:*

Please describe your training techniques and philosophies. As part of your response please include share the website(s) to any places you work.*

Please describe your background/experience as a strategic thinker, entrepreneur or social entrepreneur. As part of your response, please share your specific views on/direct experience with innovation, including business model innovation:*

Please describe your personal/professional network of relationships, and how you use mobile, social and related technologies to connect and collaborate with your network. As part of your response, please share any professional experience you have with the implementation of mobile, social and related technologies:*

Please describe your background in financial management, fundraising and/or the law. As part of your response, please share details of any past board experience and your point of view on the board’s fiduciary responsibility:*

Please share the names, titles and organizations and email addresses of at least three personal or professional references:*

Please share any additional thoughts you would like the APDT Foundation Board of Trustees to know:*