Are you interested in being on our Board of Directors, or would you like to nominate someone? Please complete the form below, or click here for a downloadable form. Board Candidate Candidate Name*Address* Street Address Address Line 2 City Province Postal Code Occupation*Email* Phone*Candidate is: (please check one)*Family Member (Parent, spouse, sibling, child or loved one of someone with a serious mental illness)Primary Consumer (An individual with a diagnosis of mental illness)Mental Health ProviderAreas of Knowledge/Expertise/Influence*Please select all that apply Business Management Not-for-Profit Management Personnel Administration Marketing/Public Relations Accounting/Finance Law Education K-12 Education, College/University Clergy/Lay Church Work Medicine/Psychiatry Psychology Social Work Child/Adolescent Mental Health Politics/Legislation/Advocacy Fund Raising Community Development Corrections Information technology (IT) Other What is your experience/familiarity with AMI-Quebec?*List previous volunteer and/or board member experience:*List outside interests that may be relevant to the AMI-Quebec mission:*What does the candidate bring to AMI-Quebec?*If filled out by person other than candidate, please note this page is confidential and will not be shared with candidate.Candidate proposed by*CAPTCHANameThis field is for validation purposes and should be left unchanged.