Official Nomination and Candidate Application

Name:

Address:

Phone:

Email:

Employer Name:

Title:

Minimum Eligibility Criteria

· be a Chapter Member in good standing;

· must hold a CHRL or CHRE designation

· be an Association Member for at least one (1) Membership Year;

· must have a minimum of 1 year HRPA York Region volunteer experience or prior Board experience

· not be the subject of any disciplinary proceedings by the Association;

· not have a finding of Professional Misconduct against the Chapter Member in the three (3) years preceding the date of the Nomination Deadline for the Directors’ election;

· be at least eighteen (18) years old;

· not be an individual who has been found under the Substitute Decisions Act, 1992 or

· under the Mental Health Act to be incapable of managing property;

· not be an individual who has been found to be incapable by any court in Canada or

· elsewhere;

· not have the status of bankrupt

· meet any other criteria as established by the Nominating Committee, the Chapter Board or the Association, including but not limited to reference checks prescribed by the Chapter Board in accordance with Section 8.7 of these Operating Terms, and any criteria outlined in the Skills Matrix

Questionnaire

1.  In order to sit on the Board of Directors with the HRPA York Region Chapter the CHRL and/or CHRE designation is required. Do you hold the CHRL or CHRE designation?

¨  Yes

¨  No

2.  In order to sit on the Board of Directors with the HRPA York Region Chapter you must have prior HRPA volunteer experience for a minimum of 12 months

¨  Yes

¨  No

3.  Why do you want to become a member of the York Region HRPA Chapter Board of Directors?

4.  What specific skills or competencies would you bring to the York Region HRPA Chapter Board?

¨  Communications

¨  Finance and Administration

¨  Education

¨  Professional Development

¨  Volunteer Management

¨  Membership Development

¨  Career Management and Community Engagement

¨  Mentoring

5.  Prior Board experience – please provide details:

6.  York Region HRPA Chapter Board members are expected to prepare for and attend 11 Board meetings as well as committee meetings as appropriate, approximately 10 - 12 hours of volunteering per month. Is this a commitment you are able to make?

¨  Yes

¨  No

7.  Please describe any other experience you consider relevant.

8.  Why should a member vote for you? (100 words max.) This will be used for your Candidate statement on the website and in the flyer that will be sent to all Chapter members.

Did you attach your resume?

Did you sign and have witnessed your Declaration of Attestation?

Declaration of Attestation

I, ______[Full legal Name], do solemnly and sincerely attest that:

I have no criminal convictions for which I have not been pardoned.

I understand that any incorrect information may result in refusal of my application for nomination to, or removal from, the Board of the ______Chapter of HRPA.

Declared at ______[City], Ontario, this ______day of ______, 201__.

______

Signature of Attester

______

Witness Name

______

Witness Signature