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In order to assist us in selecting Board members who can best meet the present needs of the Centre would you please provide us with the following information Yes No Do you work in any one or more of the following Postal Codes N0M 1B0 N0M 1M0 N0M 1N0 N0M 1T0 N0M 1X0 N0M 2E0 N0M2L0 N0M 2N0 N0M 2T0 Yes No Do you use the Centre s clinical services Are you a Client of any Program Have you volunteered for any program at the Centre If yes which program What is your occupation 2. Please outline...

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