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Doctors Nova Scotia Skills and Attributes Matrix for Board Chair Position

2.Doctors Nova Scotia Skills and Attributes Matrix for Board Chair Position

For the Board Chair position, the information gathered from this skills and attributes survey serves two purposes:

1. To assess the diversity of member representation on the Board: All candidates are asked to complete a skills and attributes survey when expressing an interest in an appointed position on the Board of Directors. The information gathered allows the Nominating Committee to assess the current mix of skills and attributes of those on the Board and will highlight gaps that may need to be filled.

2. To assess whether candidates meet the criteria for the position (see the ‘Board Chair Criteria' found on the Nomination Form).

*The information gathered will be kept confidential and only shared with the selection committee*
Full name(Required.)
Email address(Required.)
Specialty
Practice Location
Payment model:
Contact numbers(Required.)
Perspective/Background: 
(Please tick the boxes that apply).(Required.)
How do you identify?
Board Chair Experience/Knowledge/Skills
(Please check the number that you feel best represents your experience, knowledge or skills in the specified area).(Required.)
1 (none)
2 (low)
3 (moderate)
4 (high)
Experience serving on boards
Experience chairing meetings
Knowledge and understanding of rules of order/parliamentary procedures
Knowledge of governance practices/improvements
Communication and facilitation skills
Conflict resolution skills
General Experience/Knowledge/Skills
(Please check the number that you feel best represents your experience, knowledge or skills in the specified area).(Required.)
1 (none)
2 (low)
3 (moderate)
4 (high)
Cultural Competence/Equity Issues
eHealth/Technology
Financial Acumen
Government Relations
Health Policy
Leadership
Comments
This matrix and the supporting documents (Board and Committee Diversity Policy and Guidelines for Diversifying the Board and Committees) were developed in collaboration with the Governance Committee, the internal DNS EDI Committee and physician members of equity-deserving groups.
If you have any questions or require assistance completing this form, please contact Sonia Abi-Ajab at sonia.abiajab@doctorsns.com.