WSN Board of Directors
Expression of Interest Application Form

Following your submission, a confirmation email will be sent to you with details about the next steps.

Applicant Contact Information

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Reference Contact Information

Reference Full Name:

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Reference is a:

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Applicant Signature:

Date:

Declaration

I hereby declare that the information provided in this Expression of Interest is true, and accurate to the best of my knowledge. I confirm that I meet the eligibility requirements and qualifications outlined for consideration and agree to comply with all applicable policies, codes of conduct, and conflict of interest requirements should I be appointed.

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WSN Board of Directors Expression of Interest Application Form

Reference Contact Information

Declaration

WSN Board of Directors
Expression of Interest Application Form