Please complete the application form below. Once submitted, the HCBC office will send you an email confirmation that your electronic application has been received (within 2 business days). At that time, the office will forward for electronic signature, the Consent to Act as a Director Form, the Code of Conduct Form, and Confidentiality Form. Your Nominators will receive an electronic Nomination Form confirming their support for your nomination which they must digitally sign. Electronic signature documents must be completed within two (2) business days to be included with your application. Once all documentation has been received and verified by the office, you will receive a confirmation email that your completed package has been forwarded to the Nominations Committee.

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* 1. Name:

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* 2. HCBC #:

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* 3. Phone #:

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* 4. Email:

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* 5. Mailing Address:

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* 6. Post-secondary education/specialized training:

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* 7. Profession/(s):

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* 8. Equine/Equestrian areas of interest:

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* 9. Do you operate an equine business?

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* 10. What type of committee work interests you?

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* 11. What other organizations are you active with?

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* 12. Please share details on your skills/experience - Accounting/finance

1 - No experience 3- Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 13. Please give 2-3 points supporting your ranking  - Accounting/finance

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* 14. Please share details on your skills/experience - Advocacy

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 15. Please give 2-3 points supporting your ranking - Advocacy

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* 16. Please share details on your skills/experience - Fundraising

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 17. Please give 2-3 points supporting your ranking - Fundraising

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* 18. Please share details on your skills/experience - General management

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 19. Please give 2-3 points supporting your ranking - General Management

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* 20. Please share details on your skills/experience - Government relations

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 21. Please give 2-3 points supporting your ranking - Government relations

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* 22. Please share details on your skills/experience - Human resources

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 23. Please give 2-3 points supporting your ranking - Human Resources

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* 24. Please share details on your skills/experience - IT/Digital

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 25. Please give 2-3 points supporting your ranking - IT Digital

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* 26. Please share details on your skills/experience - Non-profit governance/board

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 27. Please give 2-3 points supporting your ranking - Non-profit governance/board

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* 28. Please share details on your skills/experience - Strategic Planning

1 - No experience 3 - Familiar but don't regularly use these skills 5 - Regularly use these skills in professional or volunteer experience
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i We adjusted the number you entered based on the slider’s scale.

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* 29. Please give 2-3 points supporting your ranking - Strategic planning

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* 30. Please list any additional skills you feel are relevant to this position

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* 31. Nominator One – Please provide the First Name, Last Name, HCBC Number, and Email Address of your nominator

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* 32. Nominator Two – Please provide the First Name, Last Name, HCBC Number, and Email Address of your nominator

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* 33. Please submit a short biography, approx 250 words

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