Ross Creek Board Expression of Interest
Contact Information
Email
*
example@example.com
Name
*
First Name
Last Name
Pronouns
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Phone Number to reach you
*
Format: (000) 000-0000.
Instagram
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Other Social Media
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Voluntary Self-Identification
We are working to ensure our Board as well as our staff, artists, and audiences, reflect our community. This section is completely voluntary though it does help us to do our best. Language changes and isn't perfect and we appreciate your patience. We have taken terminology from the Self-Identification Survey for employment equity from the Canadan Human Rights Commission.
Are you an Indigenous person?
Please Select
No
Yes
Prefer not to answer
If yes, can you identify which group(s)?
(Optional) If yes, are you:
First Nations
Inuk (Inuit)
Métis
Prefer not to say
Are you a racialized person?
Please Select
No
Yes
Prefer not to answer
If yes, can you identify which group(s)?
South Asian (e.g., East Indian, Pakistani, Sri Lankan, Indo-Caribbean etc.)
Chinese
Black
Filipino
Latin American
Arab
Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai, etc.)
West Asian (e.g., Iranian, Afghan, etc.)
Korean
Japanese
Mixed race
Other (please specify)
Are you a person with a disability?
Please Select
No
Yes
Prefer not to answer
Additional detail about your disability/disabilities, select all that apply
Hearing
Seeing
Mobility
Flexibility
Dexterity
Pain
Learning
Memory
Developmental
Mental and/or psychological
Unknown disability type
Prefer not to say
Other
Do you agree that this information may be used for purposes related to position equity?
Yes
No
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Outside Experience
We know people come with lots of different community relationships. Please just let us know what has ben important to you about your work in your community - whether afternoons volunteering, or a role on a formal board.
Please let us know what your interests and/or experiences are within arts and culture
*
Please let us know what previous experiences you have had serving as a board member, if any. please include what you like about board work, and what you find frustrating.
Please let us know other volunteer experiences you have had, if any.
Please let us know any current organizational affiliations (this might mean where you work, or any businesses you may own, or any other organizations you are involved with and you wish to tell us about). We would be interested to know about any special roles or responsibilities you may have with the above.
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Connection to Ross Creek / Two Planks
Do you have a previous relationship with Ross Creek/Two Planks? If so, please explain.
This could be as an audience member, a camp parent or visiting artist.
Briefly describe what excited or inspires you to join our board.
*
What knowledge or community would you like to share with our board?
*
What would you like to learn or experience as a board member?
*
Do you have any known or potential conflict-of-interest issues? If so, please explain.
*
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