Application Form – Board of Directors (GNPHC)

First Name

Last Name

Address (City)

Telephone (Home)

Telephone (Work)

1) Motivation

Why are you interested in serving on the GNPHC Board?

2) Affordable/Community Housing Involvement

Describe any relevant experience or lived expertise.

3) Community Involvement

List organizations and outline your roles/responsibilities.

4) Skills & Knowledge (check one per line and add brief detail)

Affordable Housing/ Social Housing

Human Resources

Some Experience

Very Experienced

Employment Law

Some Experience

Very Experienced

Knowledge of Housing/Development/Homelessness

Some Experience

Very Experienced

Non-Profit/Voluntary Sector

Some Experience

Very Experienced

Financial Management and Control (Budgeting/Accounting)

Some Experience

Very Experienced

Communications, Public and Media Relations

Some Experience

Very Experienced

Marketing/Communications, Program Planning

Some Experience

Very Experienced

5) For the items listed above, please clearly indicate any roles and responsibilities as they relate.

6) Additional Qualifications

Any special interests, work experience, or education that would assist you as a Director?

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Date

By checking this box, I certify that the information provided is true and accurate

Personal information (PI) is collected under the authority of the Municipal Act, 2001. All personal information created, held or collected by the County of Wellington is protected in accordance with Municipal Freedom of Information and Protection of Privacy Act, 1990 (MFIPPA). For questions related to this collection of personal information, contact the Manager of Privacy and Information, County of Wellington, Office of the CAO, T 519.837.2600 x2528.