S-4.2, r. 22 - Regulation respecting the procedure for designating certain members of the board of directors of the public institution referred to in Part IV.2 of the Act respecting health services and social services

Schedule Disposition versions

2012-09-01

SCHEDULE II

(s. 9)

DESIGNATION

NORD-DU-QUÉBEC INSTITUTION

Designation Certificate

Designation college: ___________________________________

Number of positions to be filled: __________

Executive director of: __________(Name of institution(s))__________

I, the undersigned, the officer in charge of the designation process, declare that on ________________ the following candidate(s) was (were) designated to the position of member of the board of directors of the above-mentioned institution(s):

Name

(1) ______________________________________________________________________________

(2) ______________________________________________________________________________

(3) ______________________________________________________________________________

( ) The number of candidates was lower than or equal to the number of positions to be filled.

( ) The number of candidates was higher than the number of positions to be filled, and the designated candidate(s) received the greatest number of nominations or votes.

( ) Due to an equal number of nominations or a tie vote, the candidate(s) ____________________ was (were) designated in a draw held on __________

Signed in ____________________, on ____________________

______________________________

Signature

______________________________

Name of designation officer

M.O. 2006-013, Sch. II.