New Board Member Application Form

New Board Member Application Form

Deadline for applications is May 13th.
This is a long form. You will need to complete the form all at one time and submit. It is not possible to save halfway through.

Note: Nominators and Nominees must be residents of the South West District.

Welcome!
Thank you for your interest in the South West District for Culture, Recreation and Sport Inc.

What Does the South West District Do?
The South West District works with people in southwest Saskatchewan to help them develop community culture, recreation, and sport programs.

What Does the BOARD Do?
The South West District Board acts as the voice for the communities, groups, and volunteers in the culture/recreation/sport sectors of the District. It is important that the Board is reflective of the communities the District serves.

The South West District Board is a policy governance board, with 3 core functions.
1. To develop strategy.
2. To write governing policy.
3. To assuring the organization meets its strategic priorities.
Joining the South West Board is an opportunity to participate in the big-picture strategic vision for the District. You'll work with others in the culture/recreation/sport sectors and will gain valuable leadership experience.

Board Meetings
There are approximately 7 meetings per year; 1 in person and the rest by Zoom online. This includes approval by email discussion/motion and attending governance training.

Meeting times change to reflect the majority preference of current Board members. Reference reading is sent out two weeks before each Board meeting. Virtual meetings last around 2 hours.
NOMINEE'S PERSONAL PROFILE
Nominees must reside within the South West District.
Name*

First NameLast Name
Address (mailing and physical)*

Preferred MAILING Address

PHYSICAL Home Address (required by Provincial Regulations)

Name of CommunityProvince

Postal Code
Preferred Phone Number (this number will be used to contact you)*
Please enter a valid phone number.
Preferred Email (this email will be used to contact you)*
example@example.com
If the above email is a business email, please provide your home email, in case of emergencies.
Preferred Pronoun*

He/HimShe/HerThey/ThemOther
Voluntary Self-Declaration - Do you self-identify as any of the following?

First Nations/Métis/InuitNew CanadianFemaleMaleSenior (55+)Youth (29 and under)Youth (25 and under)PrideIndividual living with a disabilityNone of the abovePrefer to self-describe
What is your age category?*

20's30's40's50+
What size community are you from?*

CityTownVillageHamletRMOther, please explain
Please indicate your background or area of experience. Check all that apply.*

CultureRecreationSportHeritageTourismHealthMunicipalCommunity DevelopmentOther
Please describe your history of volunteer work, employment, and other interests. *
Why are you interested in becoming a Board Member for the South West District for Culture, Recreation and Sport Inc.? What skills and/or experiences can you bring to a governance Board of Directors?*
The South West District believes annual governance training is a critical tool to help Board Members understand their role. Do you agree to attend yearly governance training, at the District's expense, as a condition to holding a position on the South West District Board?*

I agreeI do not agree
Board members must be prepared to meet during evenings and/or weekends from time to time and must also be prepared to spend some time in committee work. Do you see this as a problem?*
Have you ever been employed with the District? Please list employment start-end dates and position title. PLEASE NOTE: Current or former employees may not hold a position on the District Board of Directors for 4 years after their employment. Employees whose employment was terminated may never hold a position on the Board.*
CRIMINAL RECORDS CHECK
Board members are required to submit a Criminal Records Check.
- Criminal Records Checks must valid be for the 12-month period immediately prior to application.
- The SWDCRS will reimburse for any expense incurred in completing the Criminal Records Check (receipt required).
- Criminal Records Checks must be received prior to the Annual General Meeting each June.
- A sample Criminal Records Check Letter of Request is available on the District website. CLICK HERE.
Do you agree to provide a Criminal Records Check, including vulnerable sector search, as a condition to holding a position on the South West District Board?*

I agreeI do not agree
BOARD MEMBERS’ OATH
As a board member of the South West District for Culture, Recreation and Sport, I will:
- Support sport, culture and recreation as an essential service and advocate its many benefits
- Respect fellow board members, professionals, volunteers and participants involved in organization business, programs, and services
- Uphold the quality and honesty of the District and sign the Code of Conduct
- Respect the Policy Governance model of the organization and respect the division from Operational Policy
- Endeavour to attend all Board meetings, for the full meeting, to ensure quorum
- Consider it a personal responsibility to further the development of sport, culture and recreation
- Accept a broad definition of recreation, maximizing equal opportunity for all to participate in sport, culture and recreation activities of the organization
- Continue to develop as a sport, culture and recreation professional or volunteer through training
- Encourage responsible and responsive decisions that consider the sport, culture and recreational needs of all participants
- Work together with sport, culture and recreation partners and District members to provide opportunities in a cost-effective manner
- Include others in decision making and encourage them to share in the responsibility for programs and services
- Endeavour to see that District funds are expended efficiently, economically and in the best interest of the South West District for Culture, Recreation and Sport
Do you agree to the Board Members' Oath as above?*

I agreeI do not agree
NOMINATORS

Nominators and Nominees must be residents of the South West District.

Please remember to have EACH nominator complete the on-line nomination form.
Please provide the full name, community, phone number, and email of your FIRST nominator.*
Please provide the full name, community, phone number, and email of your SECOND nominator.*
CODE OF CONDUCT

Please read the South West District Code of Conduct Policy, CLICK HERE.
Board members shall agree to confidentiality upon joining the Board of Directors. Do you agree to follow the South West District's Policy on Board Confidentiality?*

I have read AND agree to the Code of Conduct PolicyI do not agree to the Code of Conduct Policy
CONFLICT OF INTEREST

Please read the South West District Conflict of Interest Policy, CLICK HERE.
Please declare any interests which may represent a potential conflicting interest. (if applicable)
CONFIDENTIALITY
South West District for Culture, Recreation and Sport Board Members will follow the following confidentiality policy.
- Respect for confidentiality is the cornerstone of trust and confidence as well as an obligation.
- Board members must at all times respect the confidentiality of District material and personal information.
- Similarly, all matters dealt with by the Board during in-camera or confidential meetings and matters related to personnel negotiations must be held in strictest confidence.
- Confidentiality means Directors Board members may not relate such matters to anyone including immediate family members.
- The duty of confidentiality continues indefinitely after a Director Board member has left the Board.
- Board members shall agree to confidentiality upon joining the Board of Directors.
Do you commit to following the Board's Confidentiality Policy.*

I have read AND agree to the Confidentiality PolicyI do not agree to the Confidentiality Policy
NOMINEE’S ACCEPTANCE of NOMINATION*

I agree to allow my name to stand for nomination to the Board of Directors for the South West District for Culture, Recreation and Sport Inc.I agree to have my name and community published by the Organization.As per the qualifications of directors outlined in The Non-Profit Corporations Act, I attest that I am 18 years of age or older.As per the qualifications of directors outlined in The Non-Profit Corporations Act, I attest that I have not been found to be of unsound mind by a court in Canada, or elsewhere.As per the qualifications of directors outlined in The Non-Profit Corporations Act, I attest that I do not have the status of bankrupt.
Please Sign (sign as best you can, we know it isn't easy with a mouse!)

Clear
Please verify that you are human, check the box below.*
Please remember to click the SUBMIT button below to save and send your application! You will receive an email copy of your submission.
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