Board of Directors - Nomination Form

The Alberta Amateur Hockey Association (Hockey Alberta) is seeking qualified candidates for one (1) position of Director at Large on its Board of Directors. The Board is accountable to its Members, ensuring that the mission and values of Hockey Alberta are carried out by the organization. As a Director at Large, you are expected to commit to a three-year term on the Board. The Board meets monthly (in Red Deer and online), and Board members attend events throughout the year. If you are interested and would like to help shape the future of hockey in Alberta, please complete all sections of the online Nomination Form and submit via the Hockey Alberta website. You may include a copy of your resume highlighting your career and volunteer history, and a cover letter recognizing what you believe you can contribute to the Board of Directors of Hockey Alberta.

More information on Hockey Alberta’s Board of Directors can be found at the following links:

PLEASE NOTE:

Deadline for nominations to be received by Hockey Alberta is November 7, 2020 at 11:59 PM (MT).
The Nominee is to fill out this form completely and submit by the deadline. Please email [email protected] immediately upon submission to confirm receipt of nomination.
The Nominee should confirm his/her email address appears accurately in the Forward Email section at the bottom of the form. This ensures the Nominee receives a copy of the submission.
In the HOCKEY ALBERTA MEMBER NOMINATOR INFORMATION section, the Nominee is to enter the email address for the Hockey Alberta Member representative who is making the nomination. The Nominator will receive an email, with a weblink and password. S/he is to go to that link, and complete the required information to confirm and finalize the nomination. This process is done in lieu of a signature on the online form. Until the Nominator submits his/her confirmation, the Nomination is not complete.
You may save the form at any time by clicking the SAVE FOR LATER button at the bottom of the form. Please ensure you keep a record of the unique weblink and password for your form so that you can access it again.

Board of Directors - Nomination Form

Nomination form for individuals seeking election to the Hockey Alberta Board of Directors.

Required Fields *

Nominee Information

First Name: *

Last Name: *

Address: *

City/ Town: *

Postal Code: *

Occupation: *

Email: *

Phone: * () - -

Nominee Credentials Summary Form

Provide a history of your hockey involvement: *

Provide a history of your involvement in other professional or volunteer positions that will help you excel in this position: *

What skills, attributes and experiences would you bring to the Hockey Alberta Board, if elected: *

On what do you believe the Hockey Alberta Board should focus in the next three years: *

Conflict of Interest Declaration

Please check if you agree with the following: * I have read, understood, and considered the contents of the Conflict of Interest Policy, and acknowledge the foregoing shall constitute a term of my position if elected

Conflict of Interest Declaration: *

Potential Conflict 1:

Potential Conflict 2:

Potential Conflict 3:

Potential Conflict 4:

Potential Conflict 5:

Nominee Attestation

Please check if you agree with the following: * I am qualified to act as a Director

Please check if you agree with the following: * I have declared any potential conflicts of interest in accordance with Hockey Alberta’s Conflict of Interest Policy

Please check if you agree with the following: * I certify that the information included in this form is accurate, and that I wish to have my name stand for election to the Board of Directors

Date:

Hockey Alberta Member Nominator Information

Name of Member (MHA or Club Team): *

Nominator’s First Name: *

Nominator’s Last Name: *

Current Position held with Member: *

Date: *

Required for Form Submission

Please enter the email(s) for the following contact(s) in order to complete submission of this form:

Hockey Alberta Member Nominator (listed above) Email: *

Forward Submission

If you wish to forward this form submission to other related person(s) please enter their email addresses below, separated by commas. (ex: [email protected],[email protected])

Forward to Email(s):

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Board of Directors - Nomination Form

PLEASE NOTE:

Deadline for nominations to be received by Hockey Alberta is November 7, 2020 at 11:59 PM (MT).

The Nominee is to fill out this form completely and submit by the deadline. Please email [email protected] immediately upon submission to confirm receipt of nomination.

The Nominee should confirm his/her email address appears accurately in the Forward Email section at the bottom of the form. This ensures the Nominee receives a copy of the submission.

You may save the form at any time by clicking the SAVE FOR LATER button at the bottom of the form. Please ensure you keep a record of the unique weblink and password for your form so that you can access it again.

Board of Directors - Nomination Form

Nominee Information

Nominee Credentials Summary Form

Conflict of Interest Declaration

Nominee Attestation

Hockey Alberta Member Nominator Information

Required for Form Submission

Forward Submission

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