The Greater Toronto Chapter of the Canada Green Building Council

British Columbia Chapter of the Canada Green Building Council 2017 Chapter Leadership Board Election

Statement of Interest and Qualifications

Please complete and return this form to [email protected] no later than March 5, 2017. Please refer to the 2017 Call for Candidates document posted on the CaGBC British Columbia Chapter website before completing this form. NOTE: The information you provide on this form will be published on the Chapter website (except for fields marked with an asterisk [*])

SECTION 1: PROFESSIONAL INFORMATION AND CREDENTIALS NAME: Click here to enter text.

POSITION: EMPLOYER: Click here to enter text. Click here to enter text.

REPORTS TO*: YEARS IN CURRENT ROLE*: Click here to enter text. Click here to enter text.

MAILING ADDRESS*: CITY AND PROVINCE: Click here to enter text. Click here to enter text.

OFFICE PHONE #*: MOBILE PHONE #*: Click here to enter text. Click here to enter text.

EMAIL*: Click here to enter text.

DEGREES AND PROFESSIONAL CREDENTIALS: Click here to enter text. PLEASE SUBMIT THE FOLLOWING WITH THIS FORM:  CURRENT JPEG BIO PHOTO (MEDIUM TO LARGE RESOLUTION)  CURRICULUM VITAE/RÉSUMÉ*

SECTION 2: MEMBERSHIP INFORMATION ARE YOU CURRENTLY A CHAPTER MEMBER? HOW LONG HAVE YOU BEEN A MEMBER? Click here to enter text. Click here to enter text.

SECTION 3: GENERAL CRITERIA PLEASE REFER TO THE CALL FOR CANDIDATES DOCUMENT PLEASE INDICATE WHICH INDUSTRY SECTOR YOU BELONG TO: GOVERNMENT & POLICY; [MUNICIPAL/PROVINCIAL GOVERNMENT] ☐ PROFESSIONAL FIRMS [ENGINEERS] ☐ REAL ESTATE MANAGERS, OWNERS & DEVELOPERS; ☐

SECTION 4: BACKGROUND AND INTEREST PLEASE NOTE THERE IS A 250-WORD LIMIT RESPONSE FOR SECTION 4: 1. WHY DO YOU WISH TO SERVE ON THE CHAPTER LEADERSHIP BOARD OF THE BRITISH COLUMBIA CHAPTER? Click here to enter text. 2. EXPLAIN YOUR CURRENT INVOLVEMENT AND CONTRIBUTIONS TO THE GREEN BUILDING INDUSTRY, INCLUDING YOUR WORK WITH THE CHAPTER. Click here to enter text. 3. EXPLAIN HOW YOUR NETWORK OF CONTACTS, THE ASSOCIATIONS TO WHICH YOU CURRENTLY BELONG, AND THE INDUSTRY RELATED EVENTS YOU ATTEND CAN HELP FURTHER CONTRIBUTE TO THE CHAPTER’S MISSION. Click here to enter text. 4. WHAT DO YOU BELIEVE THE PRIORITIES SHOULD BE FOR THE GREEN BUILDING INDUSTRY IN BRITISH COLUMBIA OVER THE NEXT SEVERAL YEARS AND HOW WOULD YOU ADDRESS THEM? Click here to enter text.

FOR QUESTIONS 5 TO 11: DESIRED AREAS OF EXPERTISE IF YOU HAVE DIRECT EXPERIENCE IN ANY OF THE COMPETENCIES BELOW, PLEASE INDICATE YOUR LEVEL OF EXPERTISE: 5. BOARD/COMMITTEE EXPERIENCE:

NONE ☐ BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE) 6. KNOWLEDGE/EXPERTISE IN GREEN BUILDING POLICY:

NONE ☐ BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE) 7. KNOWLEDGE/EXPERTISE IN GREEN BUILDING EDUCATION AND TRAINING:

NONE ☐ BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE) 8. EXPERIENCE OF DEVELOPING INDUSTRY ENGAGEMENT :

NONE ☐ BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE) 9. FUND DEVELOPMENT EXPERIENCE:

NONE ☐ BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE) 10. WHAT ADDITIONAL SKILLS, ABILITIES OR OTHER RESOURCES (NOT LISTED ABOVE) WOULD YOU BRING AS A MEMBER OF THE CHAPTER LEADERSHIP BOARD TO ADVANCE THE CHAPTER’S GOALS AND STRATEGIC INITIATIVES:

Click here to enter text. BASIC ☐ INTERMEDIATE☐ EXPERT ☐ (CHECK ONE)

By submitting this form to CaGBC British Columbia Chapter you agree to be considered as a nominee for the 2017 election. NOTE: The information you provide on this form will be published on the CaGBC British Columbia Chapter website, except for fields marked with an asterisk (*).