2017 Board Candidate Survey

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Introduction

In order to work towards achieving greater diversity on the Board, the nominations committee is asking all candidates to identify what you believe you bring to the Centretown Community Health Centre (CCHC). Please note that none of the questions below determine a candidate's eligibility. All candidates must submit a completed Board Candidate Survey by noon on June 2, 2017 in order to be eligible to run for election.

Information from questions 5-12 will be shared with CCHC members in the AGM package to be reviewed as part of the election process.

If you have any questions or require any assistance to fill out the Board Candidate Survey, please contact Alison De Linden at adelinden@centretownchc.org or 613-233-4443 ext. 2106.

1. Your name

Your contact information

2. I agree to be a candidate for election to the Board of Directors of the Centretown Community Health Centre (CCHC) for the 2017-19 term. Set out below is information, which indicates why I believe I can make a contribution to the work of the CCHC. I understand that the answers from questions 5-12 will be made available to the membership of the CCHC prior to the election at the Annual General Meeting on June 22, 2017, and that I will have an opportunity at that time, to briefly expand on that information.

3. As required by the Bylaws of the CCHC, I confirm that I am at least 18 years of age, that I support the mission of the CCHC, and that I am at present a member of the CCHC or will become one within 10 days of my election as a director.