Devon Hospital Foundation - Board Application

Board of Trustees Application

Board of Trustee Applications Devon General Hospital Foundation was established as a charitable organization in 1994. The Foundation is administered by a volunteer Board of Trustees comprised of enthusiastic people from various backgrounds representing the Hospital and community.

The Board is responsible for the governance of and providing strategic direction to the organization. Committees of the Board help inform and guide the Foundation in the areas of governance, finance, fundraising, events, communications, and marketing. Trustees function to raise awareness, and determine appropriate and effective methods of raising funds for needs identified by the hospital & community.

Time Commitment

If you are looking for a rewarding and meaningful volunteer experience, we seek committed individuals to serve a (3) three-year term on the Board. Members are expected to attend 7-10 Board meetings annually, including an annual general meeting, and participate on at least one committee. In addition to meetings, members are asked to participate in fund raising events throughout the year.

This is a volunteer (non-paid) position. Interested individuals, who are residents of or who work in the Devon and surrounding area are invited to apply. If you are not able to commit the time to a Trustee position, consider becoming a volunteer for events and activities throughout the year.

We seek candidates with a passion for our cause, a commitment to action and a willingness to lend skills, experience, and personal support to ensure we achieve our goals. Board member diversity is important to us. Ideally, the Board should reflect the diversity of the community.

Typical duties of a Board Member include:

Attending board meetings
Serving on at least one committee
Serving a three-year term
Assisting and attending fundraising events

The Board will review all applications and contact qualified candidates for further discussion. Those individuals invited to become a Trustee must submit to a police reference check prior to being appointed to the Board.

Board of Trustees Application Form

Your Name

First Name
Last Name

Address

Street Address
Street Address 2
City	Province
Postal Code	Country

Email
Telephone
Phone Number
Cell Phone
Phone Number
Current Occupation
What motivates you to become a board member of the Devon General Hospital Foundation?
What specific qualifications and/or skills would you bring to the board?
Please describe your past board or community volunteer experience, including committees on which you have participated.
Is there anything else you would like to share about yourself?

Please identify the areas in which you have basic or advanced experience and areas you are interested in

Blank	Basic	Advanced	Interested
Business Management
Community Leadership
Finance / Accounting
Human Resources
Fundraising
Government / Political Acumen
Healthcare Administration / Policy
Event Planning
Legal
Public Relations / Communications
IT / Graphic Design

What Committee would you be most interested in joining?

Blank	Yes	No
Events & Planning
Finance
Fundraising
Administration
Membership / Volunteers
Communications / Marketing
Gift Shop

Board Applicants must complete a criminal record check before assignment is verified. Please visit the Devon RCMP detachment to complete a Criminal Record Check form during office hours at 13 Columbia Ave West. When completed, please email the form to info@devonhospitalfoundation.org or mail to DGHF 101 Erie Street S. Devon, Alberta T9G 1A6

I hereby certify that the statements made by me in this application are true and complete. I give my permission for the Devon General Hospital Foundation Membership Committee to contact any references provided by me. I understand and agree that a false statement may disqualify me from volunteer service. Following Appointment: Any behaviour or action, which is detrimental to the health, safety, or reputation of the Foundation, personnel, or co-volunteers, may result in dismissal from Board service, at the discretion of the Board.
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I agree and consent
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