VIATEC Board Nomination Form

Thank you for your interest in serving on VIATEC's Board of Directors! VIATEC is fortunate to have an active and involved membership and to see this reflected in our 14 board seats. Ten seats on the board are reserved for Technology company representatives.

Please fill out the questionnaire below. Deadline is September 20, 2019 by 3pm. Tell us about yourself and your involvement with VIATEC. Each year, the board assesses it's current make up, and highlights any gaps for the membership going forward. Your answers here along with a face-to-face interview with a board member will help us best outline each candidate for our members consideration prior to and during the elections at our Annual General Meeting on September 26, 2019.

Please note, all of your answers may be made available to the public.

If you have any questions, please feel free to email our CEO, Dan Gunn at dgunn@viatec.ca

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* 1. First Name

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* 2. Last Name

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* 3. Company Name, this should be linked to your VIATEC membership. All elected board members must be a current VIATEC member.

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* 4. How long have you worked for your member company? 

QUALIFICATIONS TO SERVE AS DIRECTOR

1.       In order for a person to be elected to the board of directors of VIATEC (the “Board”) in accordance with Part 4 of the bylaws of VIATEC (the “Bylaws”), he or she must:

a.       at the time of his or her election, have been, or be representing an entity that has been, an active member of VIATEC for at least the past 12 months; and

b.       maintain an active membership throughout his or her term of office.

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* 5. What is your current title at the member company?

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* 6. Please provide your email address

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* 7. Please provide the best phone number to reach you at

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* 8. Based on revenues, where does your company currently fall?

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* 9. Please select your company's sectors. (choose all that apply)

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* 10. Please select skills, benefits and/or experience that you will bring to the board (choose all that apply):

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* 11. In your opinion, what is the most important thing that VIATEC does?

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* 12. Tell us how you have been involved with VIATEC up until now.

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* 13. What are some of the unique skill-sets you hope to bring to the board?

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* 14. What other boards have you served on?

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* 15. Please provide a brief bio in third person - to be displayed during AGM. (250 words or less)

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* 16. Please provide at least one reference from another VIATEC member that supports your nomination. (Name, company, email, phone #)

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* 17. The information provided here will be made available via a variety of channels including, but not limited to, VIATEC's website, VIATEC's social networks and at the Annual General Meeting.

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* 18. Please attach a head shot of yourself. The picture will be used along side your bio.

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