2023 Board Nomination Form Survey

Question Title

* 1. Contact Information:

Name

Company

Email Address

Phone Number

Question Title

* 2. Desired role: (select all that apply)

2025- 2027 Treasurer

Vice President

Director, Events

Director, Marketing & Communications

Chapter Chair

Please specify which Chapter Chair you are interested in (Golden Horseshoe, Durham, Eastern Ontario, Bruce, or News Brunswick Chapter Chair).

Question Title

* 3. Skills and Experience:

Directions: Rate yourself using a scale of 1-5 to reflect the level of experience possessed in a particular area. If you select (4) OR (5) please use Question 4 to explain further.

1 – None
No formal education, experience, or competency in the area

2 – Basic
Basic understanding of the area, for example:

Has an educational background that allows for a basic understanding of the area

Some experience related to the area

Basic understanding of the principles of the area

Capable of following Board discussion of the area

3 – Competent
Competent understanding of the area, for example:

Means that you have experience in this field or that you have good skills in this area, you may have a degree, diploma, or designation, or at least a strong understanding of this area from a management perspective

Has education relevant to the area

Experience in fields related to the area

Competent grasp of principles of the area

Capable of contributing to Board discussions of the area

4 – Advanced
Advanced understanding of the area, for example:

Means that you have leadership experience in this field or that you have enough skill in this area to be paid for your work at a management level in this area, either through employment or as a consultant or teacher, you have mastered this skill

Has post-secondary education specifically relevant to the area

Possesses practical knowledge specific to the area and can meaningfully engage with practical questions

Capable of analyzing and explaining data and contributing significantly to Board discussions of the area

5 – Expert
Expert-level understanding of the area, for example:

Means that you have over 10 years full-time leadership experience in this field or that you would be considered an “expert” or “specialist” in this area by your peers and others who specialize in this skill

If available has a professional designation or postgraduate degree specifically relevant to the area

Extensive practical experience as an expert practitioner in the specific area in question

Extensive and up-to-date knowledge of trends and best practices in area - could function or is functioning as a high- level practitioner in the area

Capable of analyzing and explaining data, leading Board discussion, developing long-term strategy and challenging experts in the area

	None	Basic	Competent	Advanced	Expert
Belief in/ Support of Mission	Belief in/ Support of Mission None	Belief in/ Support of Mission Basic	Belief in/ Support of Mission Competent	Belief in/ Support of Mission Advanced	Belief in/ Support of Mission Expert
Experience in Stakeholder Management	Experience in Stakeholder Management None	Experience in Stakeholder Management Basic	Experience in Stakeholder Management Competent	Experience in Stakeholder Management Advanced	Experience in Stakeholder Management Expert
Sponsorship/ Fundraising	Sponsorship/ Fundraising None	Sponsorship/ Fundraising Basic	Sponsorship/ Fundraising Competent	Sponsorship/ Fundraising Advanced	Sponsorship/ Fundraising Expert
Communication Skills	Communication Skills None	Communication Skills Basic	Communication Skills Competent	Communication Skills Advanced	Communication Skills Expert
Previous service on a WiN Canada Committee, or in a WiN Canada Chapter	Previous service on a WiN Canada Committee, or in a WiN Canada Chapter None	Previous service on a WiN Canada Committee, or in a WiN Canada Chapter Basic	Previous service on a WiN Canada Committee, or in a WiN Canada Chapter Competent	Previous service on a WiN Canada Committee, or in a WiN Canada Chapter Advanced	Previous service on a WiN Canada Committee, or in a WiN Canada Chapter Expert
Leadership Experience	Leadership Experience None	Leadership Experience Basic	Leadership Experience Competent	Leadership Experience Advanced	Leadership Experience Expert
Project Management	Project Management None	Project Management Basic	Project Management Competent	Project Management Advanced	Project Management Expert
Marketing Skills	Marketing Skills None	Marketing Skills Basic	Marketing Skills Competent	Marketing Skills Advanced	Marketing Skills Expert
Industry Connections	Industry Connections None	Industry Connections Basic	Industry Connections Competent	Industry Connections Advanced	Industry Connections Expert
Government Connections	Government Connections None	Government Connections Basic	Government Connections Competent	Government Connections Advanced	Government Connections Expert
Knowledge of regulatory affairs of the nuclear industry including licensing activities	Knowledge of regulatory affairs of the nuclear industry including licensing activities None	Knowledge of regulatory affairs of the nuclear industry including licensing activities Basic	Knowledge of regulatory affairs of the nuclear industry including licensing activities Competent	Knowledge of regulatory affairs of the nuclear industry including licensing activities Advanced	Knowledge of regulatory affairs of the nuclear industry including licensing activities Expert
Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry	Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry None	Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry Basic	Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry Competent	Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry Advanced	Knowledge of federal and provincial policies and strategies that may impact of effect the nuclear industry Expert
Fiscal Management	Fiscal Management None	Fiscal Management Basic	Fiscal Management Competent	Fiscal Management Advanced	Fiscal Management Expert
Organizational Management	Organizational Management None	Organizational Management Basic	Organizational Management Competent	Organizational Management Advanced	Organizational Management Expert
Risk Management	Risk Management None	Risk Management Basic	Risk Management Competent	Risk Management Advanced	Risk Management Expert
Strategic Planning	Strategic Planning None	Strategic Planning Basic	Strategic Planning Competent	Strategic Planning Advanced	Strategic Planning Expert

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* 4. Please elaborate on your experience here:
(Type N/A if you did not select 4 or 5 in Question 3)

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* 5. Supporting Documents (if applicable):

PDF file types only.

Choose File

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* 6. Demographic Background

Preferred Pronouns:

He/ Him

She/ Her

They/ Them

Prefer not to respond

Other (please specify)

2023 Board Nomination Form

Question Title

* 1. Contact Information:

Question Title

* 2. Desired role: (select all that apply)

Question Title

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* 4. Please elaborate on your experience here:(Type N/A if you did not select 4 or 5 in Question 3)

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* 5. Supporting Documents (if applicable):

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* 6. Demographic BackgroundPreferred Pronouns:

Question Title

* 7. Statement of Intent: (300 words max)Please tell us why you are interested in the roles you selected in Question 2.

* 4. Please elaborate on your experience here:
(Type N/A if you did not select 4 or 5 in Question 3)

* 6. Demographic Background

Preferred Pronouns:

* 7. Statement of Intent: (300 words max)

Please tell us why you are interested in the roles you selected in Question 2.