O-7.2, r. 1 - Regulation respecting the procedure for designating certain members of the board of directors of integrated health and social services centres and unamalgamated institutions

Full text
(Section 9)
Candidate Information Sheet

Candidate’s name:
Place of work or of practice of a profession:

Candidate profile (education, occupation, experience):

Reasons for candidacy:

Social, community, volunteer involvement, etc.:

Other relevant information:

Candidate’s consent: I authorize the disclosure of the information herein as part of the designation process in which I am a candidate.

__________ ____________________
Date Candidate’s signature
__________ ____________________
Date Designation officer’s signature
M.O. 2015-005, Sch. II.