Sagatay Heavy Equipment Operations



Board of Directors Candidate Application

 

Date ______________________________

 

Name    ___________________________________________________________

            First                         Middle                              Last                        

 

Residence

Address    ___________________________________________________________

Phone ______________________________    E-mail ________________________

 

Employment History

 

Current                

Name    ____________________________________________________________

Your title     _________________________________________________________

Address    ___________________________________________________________

Phone ______________________________    E-mail ________________________

Type of business or organization    ________________________________________

 

Preferred method of contact  (   )  Work        (   )  Residence

 

Please list boards and committees that you serve on, or have served on (business, civic, community, political, professional, recreational, religious, social).

 

Organization

Role/Title

Dates of Service

     
     
     
     

 

Education/Training/Certificates

   










Optional – Have you received any awards or honors that you’d like to mention?

   







How do you feel your involvement would benefit the Board and operations?

   











Skills, experience and interests (Please circle all that apply) and detail any experience in the next section.

 

Forestry

Heavy Equipment

Finance, accounting

Personnel, human resources

Administration, management

Board experience

Community service

Public relations, communications

Outreach, advocacy

Other _______________________

Other _______________________

Other _______________________

 

Please detail the experience you have within any of the above choices,  if you require more space please use the back pages of this application























Please tell us anything else you’d like to share.










 

APPLICANTS SHALL BE REQUIRED TO SUBMIT TO A CRIMINAL RECORD CHECK.  A criminal record will render you ineligible to be a director.





Application Deadline:

 

Please submit your application on or before April 21st, 2017 at 4:00 pm.



ALL APPLICATIONS TO BE SUBMITTED TO:

 

THEODORE L. SCOLLIE

ERICKSON & PARTNERS

291 South Court Street

Thunder Bay, ON P7B 2Y1

 

Or

Via Facsimile: 807-345-2526

 

OR

 

Via E-mail: tscollie(at)erickson-law(dot)com


You can download and fill-in form with .pdf reader or create printout for fax  / mail submission.

 

 Download >Adobe Acrobat Reader DC<

 Application Form > .pdf <