Board Member Application

No individual shall be qualified for election or appointment as a Director if the individual:

• is under eighteen (18) years old;

• has been found under the Substitute Decisions Act, 1992 or under the Mental Health Act to be incapable of managing property;

• has been found to be incapable by any court in Canada or elsewhere;

• has a status of a bankrupt;

• is an “ineligible individual” as defined in the Income Tax Act (Canada) or any regulations made under it;

• is a current or former employee or Professional Staff member, except as provided under the Public Hospitals Act or by resolution of the Board;

• lives in the same household as a member of the Professional Staff or an employee of the Corporation except if the individual is an ex-officio Director by virtue of section 3.1(b) or by resolution of the Board;

• is an elected official of any level of government in Canada or whose spouse or common law partner is an elected official of any level of government in Canada, except if the individual is an ex-officio Director by virtue of section 3.1(b); or

• has been convicted of an indictable offence.

• A director is expected to commit the time required to perform board and committee duties.

• New directors are normally expected to serve a 3 year term.

• Directors must fulfill the requirements and responsibilities of their position – for example, preparing for and attending board and committee meetings, upholding their fiduciary obligations, and working cooperatively and respectfully with other board members. Directors must comply with legislation governing the hospital, its by-laws and policies.

• Directors must sign an annual declaration confirming their agreement to adhere to their fiduciary duties, By-laws and board policies.

• Please download and review Board and Director responsibilities as outlined in the attachments below

BOD-P35 Roles and Responsibilities - Board V2.1

BOD-P36 Roles and Responsibilities - Directors V2.1

BOD-P19 Conflict of Interest V3.

BOD-P18 Confidentiality of Information V3.1

Time commitment and frequency of meetings

The South Bruce Grey Health Centre Board of Directors is skills-based and seeks a complimentary balance of such. The skills, experience and qualities of Directors are important elements in governance and will be considered in nomination and election processes

Please indicate your areas of knowledge and experience by checking off the relevant boxes in the table below. It is not expected that you will possess knowledge, skills or experience in all the areas set out in the table. Please indicate only those areas that apply to you.

Beginner: conceptual understanding that will allow participation in discussion

Intermediate: solid understanding that will enable asking probing questions

Advanced: validated expertise that will facilitate questions that enhance governance in this area (may include accreditation)

By submitting this application, I declare the following:

• I meet the “Corporate By-law eligibility criteria” and accept the “conditions of appointment” set out above;

• I have read and agree to comply with the following:

  • Roles and Responsibilities - Board

  • Roles and Responsibilities – Directors

  • Conflict of Interest

  • Confidentiality of Information

  • Time Commitment and Frequency of Meetings

• I certify that the information in this application and in my resume is true.

• I authorize the release of my personal information as noted above to the Board of Directors and the President & CEO of South Bruce Grey Health Centre for the purpose of providing information regarding my application.