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SCIO Board of Directors Online Application

    *indicates required fields

    General Information

    *Name:

    *Address:

    *City:

    Suite/Unit Number:

    *Postal Code:

    *Province:

    *Email:

    Home Phone Number:

    *Cell:

    Alternate Contact Phone #:

    *Please indicate preferred contact number:
    HomeCellAlternate

     


    Attestation of SCIO’s Board Member Attributes

    *Please indicate Yes or No beside each question

    Integrity, Ethics & Confidentiality YesNo
    Do you demonstrate integrity, high ethical standards and respect for privacy and confidentiality?

    Business Acumen YesNo
    Can you recognize and assess business risks and strategic opportunities?

    Governance/Board experience YesNo
    Do you have experience serving on boards,committees or organizations?

    Communication Skills YesNo
    Do you have strong verbal and written communications skills?

    Experience in formulating policy YesNo

    Experience in thinking strategically YesNo

    Knowledge of organizational performance mechanisms and ability to monitor, evaluate and report YesNo

    Conflict of Interest YesNo
    Are you able to take all steps to avoid activities, behaviours or relationships that would constitute a conflict of interest

    Respectful Conduct YesNo
    Are you able work collaboratively and respectively with fellow Board members?

    Availability to fulfill responsibilities on Board and committee YesNo
    Do you have sufficient time, interest and availability to devote to performing the duties of Director as described in the SCIO Director Job Description?
    Are you willing and interested in serving on at least one Board Committee?
     


    Self-Assessment of Board Competencies

    This is a brief survey of the skills, experience and knowledge required by the SCIO Board of Directors. Please select the options which best reflect your current areas of expertise. This inventory, once completed, will serve to determine the Board’s needs for possible additions to the Board.

    1 = Area of Personal Expertise
    2 = Significant Practical Experience
    3 = Some Practical Experience
    4 = Little to No Practical Experience

    Disability Knowledge/Personal Experience with spinal cord injury (SCI) 1234

    Financial/Investment 1234

    Business Management 1234

    Fundraising 1234

    Government Relations/Public Policy/Advocacy 1234

    Health, Community, Social Service Sectors 1234

    Legal/Regulatory 1234

    Performance Management, Quality, Risk Management 1234

    Marketing & Communications 1234

    Strategic Planning 1234

    Human Resources/Labour Relations 1234

    Human Rights/Equity 1234

    Governance/Board 1234
     


    *Please describe how SCIO would benefit from your participation on our Board:


     


    Résumé of your experience and qualifications

    *Please attach a current résumé in PDF format indicating your employment history, previous board directorships, relevant certifications, key accomplishments, etc.


     


     

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