S-4.2, r. 21 - Regulation respecting the designation procedure for certain members of the board of directors of a public institution

Full text
(s. 16)
Candidate Information Sheet
Institution(s): ________________________________________________________________________
Candidate’s name: ____________________________________________________________________
Municipality of Municipality of
residence: ____________________ workplace: ____________________
Candidate profile (education, occupation, experience):
Reasons for candidacy:
Social, community, volunteer involvement, etc.:
Candidate’s consent: I authorize the disclosure of the information herein as part of the designation process in which I am a candidate.
____________________ _________________________
Date Candidate’s signature
____________________ _________________________
Date Designation officer’s signature
M.O. 2006-015, Sch. V.