Board of Directors Application Form

CMHA recruits new board members annually just prior to the AGM held in June.
We welcome applications from individuals with skills in:
- Legal
- Property management
- Community development
- Fundraising
Please contact CMHA Kelowna CEO Mike Gawliuk for more information on our Board or complete our application form below.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What interests you about becoming a board member for CMHA Kelowna?
What special qualifications and/or skills would you bring to the board?
Please describe your past board experience (including the types of boards on which you have participated).
Please describe your understanding of a board member's role with CMHA Kelowna.
The Board of Directors seeks a complementary balance of knowledge, skills and experience at a Governance Level. Please identify those areas in which you have competencies and interests:
Business Management

ExperiencedInterested
Knowledge of Healthcare System

ExperiencedInterested
Community Development

ExperiencedInterested
Legal

ExperiencedInterested
Education/Training

ExperiencedInterested
Marketing/Communications

ExperiencedInterested
Finance

ExperiencedInterested
Property Management

ExperiencedInterested
Fundraising

ExperiencedInterested
Public Relations

ExperiencedInterested
Government/Political Acumen

ExperiencedInterested
Quality/Risk Management

ExperiencedInterested
Healthcare Administration/Policy

ExperiencedInterested
Strategic Planning

ExperiencedInterested
Other (please specify)
Would you be interested in joining one of the Board’s committees listed below?
Finance

YesNo
Fundraising

YesNo
Recruitment

YesNo
References - Please provide two references that are familiar with your previous board or committee experience:
First Reference
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
Second Reference
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
We welcome applications from individuals with skills in: Please attach a current resume to your application. By submitting this application and a resume, I declare that:
- I meet the eligibility criteria and accept the conditions of nomination as delineated.
- I certify that the information in this application and in my resume is accurate and true.
- I understand that the establishment of the Board of Directors for this non-profit organization complies with the Bylaws of the Organization. I also understand that acceptance as a board member includes joining the Membership of the Organization.
Upload Resume

Cancelof
Please verify that you are human*
Should be Empty:

CMHA recruits new board members annually just prior to the AGM held in June.