Application to Board of Directors  
Valley Community Learning Association (V.C.L.A.)
22 Cornwallis Street
Kentville, Nova Scotia
B4N 2E1

 
First Name: ______________________________
Last Name: ______________________________ Ms Mr Mrs Other:__________________________
Phone (work):_____________________________

Phone (home):_____________________________

 Phone (cell):________________________________
Civic Address:

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Postal Address (if different):

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Reason for joining Valley Community Learning Association:

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