MBOT Director Application Form - Oct 2011
MBOT Director Application Form - Oct 2011
MBOT Director Application Form - Oct 2011
Candidate Name: Address: Your Current Position and Title: Phone Number(s): E-Mail Address:
Organization:
1. Candidate Information
Briefly describe yourself under the following headings:
Education
Examples of Leadership
Other Association Memberships and/or Community Connections Previous Board of Directors Experience Previous Experience on an Executive Committee Advocacy Experience Examples of Peer Recognition, i.e. .Awards Received
Please rate your Experience from 1-4 in the following with 1 being low experience and 5 being high experience: Management Strategic Planning Human Resources Accounting/Finance Marketing Communications/Public Relations Technology Policy Advocacy/Government Relations International Trade Business Programs/Events Fundraising
Low 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3
High 4 4 4 4 4 4 4 4 4 4 4
2. Company Information
Briefly describe the organization with whom you work:
Core Business, including sector and number of years in Business Credentials Held Markets served, provincial, North American, Global
Approximately
Employees in Peel Region and Mississauga Employees in Canada Employees globally
Private Public Domestic Foreign Not For Profit Academic Partnership Registered Charity
4. Sign off
The answers and information I have provided in this Application are true. I have read the List of Expectations of an MBOT Director and can commit to honour those expectations. Dated this __________ day of _________________, 2010. __________________________________ Signature Please submit Board of Directors Application Form to MBOT Nominating Committee c/o Sheldon Leiba, President & CEO, by email [email protected] or fax to 905-273-4937 by Tuesday, November 1, 2011. Thank you for your Application.