Board of Directors Candidate Application Question Title * 1. Applicant First name Last name Question Title * 2. Address Street address Street address line 2 City ProvincePostal Code Question Title * 3. Contact Email address Question Title * 4. Please provide a brief expression of interest, indicating why you would like to join the GCC Board of Directors. Question Title * 5. Please provide a short history of most relevant of board work, employment, or other volunteerism (please list dates and responsibilities). This experience need not be in Canada. Question Title * 6. What areas of Board or Committee work are of particular interest to you? Question Title * 7. Board Directors spend up to 5 hours per month on GCC work. Depending on your level of involvement and commitment, this time might increase. Do you see this as a good fit in your life right now? Yes No Question Title * 8. Please supply two references: At least one should be from someone with whom you have worked in an employment or volunteer capacity or as part of a group. You may include a GCC Board Member. Reference One Name: Reference One Contact: Reference One Relationship: Reference Two Name: Reference Two Contact: Reference Two Relationship: Question Title * 9. Do you have an association with a GCC network member organization? Yes No If yes, what is your role? Question Title * 10. Do you identify as belonging to one or more of the following equity-deserving groups: Indigenous, Black, racialized, and/or Person of Colour? Yes No Question Title * 11. Attestation: Please allow my name to stand for nomination to the GCC Board of Directors. I understand that I must submit a recent police criminal reference check. I also understand that under the Canadian Non-Profit Corporations Act, persons who are bankrupt and whose bankruptcy has not been discharged are not eligible for positions. Yes No Question Title * 12. Please upload a current CV: PDF, DOC, DOCX file types only. Choose File No file chosen Remove File Please upload a current CV: Done
