AMHS-KFLA Board of Directors Application

Please complete the below application

To apply to be a member of the AMHS-KFLA Board of Directors, you must complete this form and submit it with a copy of your current resume or a brief biographical sketch.

Applications will be reviewed based on eligibility, qualifications, experience, and the skills and perspectives sought to strengthen the Board of Directors. Prospective Board Members will be interviewed, and references may be requested at that time.

If you have questions or require an alternate format to apply, please contact us at board@amhs-kfla.ca.

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* Please provide your full name

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* Please provide your address

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* I confirm that I live and/or work in Kingston, Frontenac or Lennox & Addington

Yes

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* Please share your email address

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* Please provide your preferred contact phone number

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* If you have an alternate email or phone number you would like to provide, please enter it here.

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* Please list any current or past Board experience you have, along with any areas of board work that are of particular interest to you.

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* What inspires you to apply to the Board, and how do you hope to contribute to our mission and strategic priorities?

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* Please let us know what skills, experience and perspectives you can share with us in the area of Core Governance & Strategy

	Requires support, no relevant experience	Understands governance implications	Can contribute meaningfully to discussions	Can mentor other directors or lead committees
Board/Non-profit Governance	Board/Non-profit Governance Requires support, no relevant experience	Board/Non-profit Governance Understands governance implications	Board/Non-profit Governance Can contribute meaningfully to discussions	Board/Non-profit Governance Can mentor other directors or lead committees
Financial Management	Financial Management Requires support, no relevant experience	Financial Management Understands governance implications	Financial Management Can contribute meaningfully to discussions	Financial Management Can mentor other directors or lead committees
Organizational Management	Organizational Management Requires support, no relevant experience	Organizational Management Understands governance implications	Organizational Management Can contribute meaningfully to discussions	Organizational Management Can mentor other directors or lead committees
Analytics	Analytics Requires support, no relevant experience	Analytics Understands governance implications	Analytics Can contribute meaningfully to discussions	Analytics Can mentor other directors or lead committees
Legal Background	Legal Background Requires support, no relevant experience	Legal Background Understands governance implications	Legal Background Can contribute meaningfully to discussions	Legal Background Can mentor other directors or lead committees
Strategy, Business Development/Design	Strategy, Business Development/Design Requires support, no relevant experience	Strategy, Business Development/Design Understands governance implications	Strategy, Business Development/Design Can contribute meaningfully to discussions	Strategy, Business Development/Design Can mentor other directors or lead committees
Public Relations & Promotion	Public Relations & Promotion Requires support, no relevant experience	Public Relations & Promotion Understands governance implications	Public Relations & Promotion Can contribute meaningfully to discussions	Public Relations & Promotion Can mentor other directors or lead committees
Fundraising & Foundation Management	Fundraising & Foundation Management Requires support, no relevant experience	Fundraising & Foundation Management Understands governance implications	Fundraising & Foundation Management Can contribute meaningfully to discussions	Fundraising & Foundation Management Can mentor other directors or lead committees
Advocacy with Government & Funders	Advocacy with Government & Funders Requires support, no relevant experience	Advocacy with Government & Funders Understands governance implications	Advocacy with Government & Funders Can contribute meaningfully to discussions	Advocacy with Government & Funders Can mentor other directors or lead committees

Please note any additional Core Governance & Strategy skills you can share with us:

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* Please let us know what skills, experience and perspectives you can share with us in the area of Community & Sector Connections

	Requires support, no relevant experience	Understands governance implications	Can contribute meaningfully to discussions	Can mentor other directors or lead committees
Healthcare	Healthcare Requires support, no relevant experience	Healthcare Understands governance implications	Healthcare Can contribute meaningfully to discussions	Healthcare Can mentor other directors or lead committees
Mental Health & Addictions	Mental Health & Addictions Requires support, no relevant experience	Mental Health & Addictions Understands governance implications	Mental Health & Addictions Can contribute meaningfully to discussions	Mental Health & Addictions Can mentor other directors or lead committees
Social Services	Social Services Requires support, no relevant experience	Social Services Understands governance implications	Social Services Can contribute meaningfully to discussions	Social Services Can mentor other directors or lead committees
Justice/Police Services	Justice/Police Services Requires support, no relevant experience	Justice/Police Services Understands governance implications	Justice/Police Services Can contribute meaningfully to discussions	Justice/Police Services Can mentor other directors or lead committees
Private Sector	Private Sector Requires support, no relevant experience	Private Sector Understands governance implications	Private Sector Can contribute meaningfully to discussions	Private Sector Can mentor other directors or lead committees
Education Sector	Education Sector Requires support, no relevant experience	Education Sector Understands governance implications	Education Sector Can contribute meaningfully to discussions	Education Sector Can mentor other directors or lead committees
Regional/KFL&A Focus	Regional/KFL&A Focus Requires support, no relevant experience	Regional/KFL&A Focus Understands governance implications	Regional/KFL&A Focus Can contribute meaningfully to discussions	Regional/KFL&A Focus Can mentor other directors or lead committees
Provincial Focus	Provincial Focus Requires support, no relevant experience	Provincial Focus Understands governance implications	Provincial Focus Can contribute meaningfully to discussions	Provincial Focus Can mentor other directors or lead committees
National/Other Jurisdiction Focus	National/Other Jurisdiction Focus Requires support, no relevant experience	National/Other Jurisdiction Focus Understands governance implications	National/Other Jurisdiction Focus Can contribute meaningfully to discussions	National/Other Jurisdiction Focus Can mentor other directors or lead committees

Please note any additional Community & Sector Connections skills you can share with us:

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* Please let us know what skills, experience and perspectives you can share with us in the area of Equity & Lived Experience

	Requires support, no relevant experience	Understands governance implications	Can contribute meaningfully to discussions	Can mentor other directors or lead committees
Anti-Oppression/Anti-Racism	Anti-Oppression/Anti-Racism Requires support, no relevant experience	Anti-Oppression/Anti-Racism Understands governance implications	Anti-Oppression/Anti-Racism Can contribute meaningfully to discussions	Anti-Oppression/Anti-Racism Can mentor other directors or lead committees
Trauma-Informed Care	Trauma-Informed Care Requires support, no relevant experience	Trauma-Informed Care Understands governance implications	Trauma-Informed Care Can contribute meaningfully to discussions	Trauma-Informed Care Can mentor other directors or lead committees
Indigenous Knowledge	Indigenous Knowledge Requires support, no relevant experience	Indigenous Knowledge Understands governance implications	Indigenous Knowledge Can contribute meaningfully to discussions	Indigenous Knowledge Can mentor other directors or lead committees
Lived Experience of Mental Health and/or Addiction	Lived Experience of Mental Health and/or Addiction Requires support, no relevant experience	Lived Experience of Mental Health and/or Addiction Understands governance implications	Lived Experience of Mental Health and/or Addiction Can contribute meaningfully to discussions	Lived Experience of Mental Health and/or Addiction Can mentor other directors or lead committees
Community Leadership	Community Leadership Requires support, no relevant experience	Community Leadership Understands governance implications	Community Leadership Can contribute meaningfully to discussions	Community Leadership Can mentor other directors or lead committees

Please note any additional Equity & Lived Experience skills you can share with us:

AMHS-KFLA Board of Directors Application

Please complete the below application

Question Title

* Please provide your full name

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* Please provide your address

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* I confirm that I live and/or work in Kingston, Frontenac or Lennox & Addington

Question Title

* Please share your email address

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* Please provide your preferred contact phone number

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* If you have an alternate email or phone number you would like to provide, please enter it here.

Question Title

* Please list any current or past Board experience you have, along with any areas of board work that are of particular interest to you.

Question Title

* What inspires you to apply to the Board, and how do you hope to contribute to our mission and strategic priorities?

Question Title

* Please let us know what skills, experience and perspectives you can share with us in the area of Core Governance & Strategy

Question Title

* Please let us know what skills, experience and perspectives you can share with us in the area of Community & Sector Connections

Question Title

* Please let us know what skills, experience and perspectives you can share with us in the area of Equity & Lived Experience

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* Please share any additional skills or relevant experience that you can bring to our Board:

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* Resume/CV Upload - please upload a copy of your resume or CV using the button below.