Council Member Application

2026 Council Application Form

Regulated Registrants interested in serving as an appointed Council member must submit this application during the open application period.
Introduction

The Alberta College of Combined Laboratory and X-Ray Technologists is responsible for regulating the practice of Combined Laboratory and X-Ray Technologists in Alberta. Under the Health Professions Act, the College ensures that the public has access to qualified, skilled, and competent CLXTs. As a Council member, you will have the rewarding opportunity to contribute to the regulation of the profession and ensure CLXTs provide safe, ethical, and competent care.
About your application

This application is your opportunity to share why you are a strong candidate for a position on the College's Council. This application will be used to assess your suitability to serve, and your provided responses should demonstrate how your skills, competencies, and experience align with the mandate of the College to protect in the public interest.
What motivates you to apply for a position on the College's Council?
What actions do you believe should be prioritized if you were appointed to the Council? Are there any specific changes you would advocate for? What do you consider to be the key priorities for the Council as a whole?
Eligibility

To be eligible to be appointed to the College Council, an applicant must:
- Be a regulated Registrant in good standing on the general register and hold a valid CLXT practice permit.
- Be up to date on their Continuing Competence Program requirements.
- Not have any outstanding fees or fines with the College.
- Not be serving as an officer or senior employee of a professional association (such as the CSCLXT or SACLXT) or a labour union that represents CLXTs.
- Not have current or past criminal or civil matters that would be considered harmful to the integrity or reputation of the Council, College, or the CLXT profession.
- Not have any current or past findings of unprofessional conduct by the College.
Do you meet the eligibility requirements described above?
Contact Information
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Registration Number
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Professional CLXT practice and other experience
How many years have you been practicing as a CLXT?
Select your current area(s) of professional CLXT practice (check all that apply):

Other
Indicate the region where you are currently providing CLXT services (see map below):
In the course of your current CLXT practice, do you preceptor, supervise or mentor other CLXTs or other health professionals?
Are you currently serving, or have you ever served, on a governance board or a similar committee?
If yes, please specify.
Provide details about the board or committee, its focus, how often it met, and how long you served.
Please upload your most recent resume

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Current Competencies

Please specify in each row the areas where you have novice, proficient, or advanced skills, knowledge, and abilities, as well as any areas you are interested in developing. Unfamiliar: No knowledge or experience with the subject or skill. Novice: Basic understanding; initial exposure with fundamental knowledge. Proficient: Competent and reliable; handles tasks independently and understands more complex concepts. Advanced: High level of expertise; solves complex problems and can mentor others.

Rows	Unfamiliar	Novice	Proficient	Advanced
Understanding of the College's mandate of protection of the public interest.
Understanding of, and ability to interpret health legislation, regulation, bylaws, and policies.
Understands administrative law and uses an impartial approach to carefully review evidence, think critically, and consider options within their role and abilities.
Able to follow laws and policies that protect the privacy and confidentiality of information.
Proven ability to lead, supervise, and influence others. Actively participates and collaborates in work groups, committees, or expert panels. Skilled at resolving work conflicts and making effective decisions.
Proven ability to learn from past experiences, predict future trends, spot opportunities, and manage resources to ensure long-term success for a team or individual.
Ability to understand complex systems by looking at how different parts interact and finding the root causes of problems.
Makes good decisions by carefully reviewing and analyzing information to find facts, connections, patterns, and any conflicts or uncertainties.
Ability to review financial statements and budgets and understand key factors that impact an organization's finances.
Demonstrated ability to work effectively remotely, using information and remote work technologies.

The Council often meets virtually. Do you have access to reliable internet to ensure your ability to participate in these meetings without any issues?
Level of Understanding

The following questions will help gauge your current level of understanding of the role of the College and its Council. For more information, you can review the Health Professions Act and CLXT Regulation available on the College website.
1. Under the HPA, the role of the College is to:
2. In general, the role of the College's Council is to:
3. One thing that Council DOES NOT DO is:
4. As a Council member, if a CLXT Registrant approaches you to bring up a matter of concern for them, the best thing to do is:
5. Based on your current understanding, the role of the College's Executive Director is to:
6. Which statements correctly describe the expectations for the College's Executive Director and staff? (Select all that apply)
References

Two professional references are required with your application. After submission of this application form, you will receive an email with a link to the form that you will need to provide to your reference.

Your application will be considered complete once the College receives the submitted references.

Ensure that your professional references are aware that you are providing their contact information and that they need to be diligent in completing the reference form.
Commitment Statement

By proceeding with this application in good faith, confirm your understanding that, if selected for a position on Council, you will:
- Sign and abide by the Council's Oath of Office.
- Sign and abide by the Councillor Confidentiality and/or Non-Disclosure Agreement.
- Be prepared to immediately declare any personal (real or perceived) conflict of interest that may arise during your term.
- Understand that if you become an officer or senior employee of a union or professional association representing members of the College, that you are not eligible to continue to serve and your appointed term will be terminated.
- Make yourself available to attend onboarding training at a date and time specified by the College.
- Attend scheduled meetings and come prepared.
- Foster a positive and respectful environment among Council members. Engage with colleagues courteously, value their perspectives and contributions, and strive to support collaborative and constructive dialogue.
- Adhere to Council Governance Policies.
- Not use the organization or your position for personal advantage or that of your friends, employer, relatives, or associates.
- Not speak for or on behalf of the College unless specifically authorized to do so, including making public statements on social media.
I understand and acknowledge the above Commitment Statement.

Declarations - In this section, you will affirm your commitment to maintaining the highest standards of professional conduct and integrity. Please review and confirm each statement to ensure that you meet the necessary criteria for good standing. If you answer 'yes,' the College may reach out to you for additional information.

Rows	Yes	No
Do you hold a registration with any other professional regulatory body?
Have you ever engaged in previous conduct that constituted unprofessional conduct?
Has there ever been a judgment in a civil action against you relating to your practice?
Have you ever had conditions imposed on your practice permit by another College under the Health Professions Act, or in another jurisdiction?
Have you ever been disciplined or are currently being investigated by another College under the Health Professions Act, or in another jurisdiction?
Currently, do you have a condition/disorder that may negatively impact or could reasonably be seen to negatively impact your practice?

Signature - By signing here I hereby declare that the information given above is true and correct to the best of my knowledge and I hereby submit this application for consideration for appointment to the College's Council.
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2026 Council Application Form

Level of Understanding