Application for 'Get On Board'


The fields marked with (*) are mandatory
Name: *
Title: *
What is the date your current
business title was achieved? *
Company: *
Address: *
Telephone number: *
Email address: *
Confirm Email address: *

1) Please select the Series which best corresponds to your level of experience, in the location of your choice (Please ensure your availability for the complete set of dates listed for each Series):
 
 Toronto Intermediate Spring 2012 - Starts March 7
 Vancouver Intermediate Spring 2012 - Starts March 9
 Calgary Intermediate Spring 2012 - Starts March 22
 Vancouver Advanced Spring 2012 - Starts April 4
 Calgary Introductory Spring 2012 - Starts April 17
 Toronto Introductory Spring 2012 - Starts April 19
 Montreal Introductory Spring 2012 - Starts April 27
 Montreal Advanced Spring 2012 - Starts May 2
2) How many years of full-time work experience do you have?
 
 1-5
 6-10
 11-15
 16-20
 21-25
 25+ years
3) Do you have previous experience serving on a board?
 
 Small/Mid-Sized Not-For-Profit Board
 Large Not-For-Profit Board
 Small Public Sector Board
 Large Public Sector Board
 Small Private Corporate Board
 Large Private Corporate Board
 Small/Mid-sized Public Corporate Board
 FP500 Board
 No
4) Briefly list your board experience, Please include as much detail as possible including Organization, Board Position, Organization Revenue, Number of Employees and Years of Service.
 
5) What is your functional area of expertise? (e.g. Finance, Marketing, Operations, HR etc.)
 
6) Do you hold a professional designation?
 
7) What is the highest level of education you have completed?
 
 Secondary school
 Community college
 Some university (not completed)
 University undergraduate degree
 MBA
 Masters degree
 PhD
 Other
8) Please list any governance training or courses which you have completed or in which you are enrolled.
 
9) How did you hear about the CBDC 'Get on Board' Governance Education Program?
 
 My Company
 Email
 LinkedIn
 A Colleague
 WXN
 Unsure
 Google
 Globe and Mail