BAO’s Advisory Committee Application Form

Instructions
Please send your completed application form and two letters of support by email to nominations@thebao.ca or by mail to the BAO, Attention: Governance & Nominations Committee, 100 Sheppard Ave East, Suite 505, Toronto, Ontario, M2N 6N5.
Part 1 - Contact Information
Salutation*
- Mr.
- Ms.
- Mrs.
- Miss
- Dr.
- Other
Custom Salutation*
First Name*
Last Name*
Preferred Name*
Example: Andrew aka Andy – Normand aka Norm
E-mail Address*
Preferred contact phone number*
Home Address
Home Address*
Unit / Apt #
City*
Province*
Postal Code*
Country*
- Preferred mailing address box
Occupation and Business Address
Company Name*
Occupation Title*
Business Address*
Unit / Apt #
City*
Province*
Postal Code*
Country*
P.O. Box
- Preferred mailing address box

Part 4 – Qualifications
Keeping in mind the mandate of the Advisory Committees, please tell us how your background, skills, and experience will result in useful contributions. Please be brief where possible (point form is okay) and share the information you think is most relevant to the Bereavement Authority of Ontario.
1. Your interest in this position
Please tell us about your interest in serving on an Advisory Committee. Why are you interested in this particular committee? What do you want to contribute as a committee member?
2. Professional Sector Experience
Please describe any current or past work experiences and skills that are relevant to this committee position, including positions held and your responsibilities and accomplishments.
3. Regulatory Understanding and Interpretation
Please describe your level of interaction with, understanding and interpretation of the FBCSA and related regulations.
4. Board or Committee Experience
Tell us about any current or past Board or Committee experience with professional associations or organizations that you believe to be relevant to the committee position you are applying for. Please describe the role you played and the period of time you were involved.
5. Additional Information
Please share any additional skills, experiences, or information about yourself that relates to the committee position.

Part 5 – Privacy and Consent Statement
By selecting "I agree," or by signing below, you declare that the information in this application form is true and understand that:
- You may be asked to provide photo identification, a criminal background check, references, or other information to confirm your identity, eligibility, and qualifications;
- The personal information requested on this application form is being collected and used by the Bereavement Authority of Ontario to evaluate the suitability of all potential candidates for appointments to a Advisory Committee. The qualifications of intended appointees will be subject to a review by the Governance & Nominations Committee. Personal information about you may also be collected from the organizations or from the references who provided support letters for you, and used to evaluate your suitability as a candidate, as well as to verify the truth and accuracy of the information you have provided, and for no other purposes;
- Any questions about the collection, used or disclosure of personal information collected on this form, should be directed to nominations@thebao.ca
Consent*
- I agree*

Part 7 - Supporting Documents
Resumé and Reference Letters
Drop files here or
Accepted file types: doc, docx, pdf, ppt, pptx, Max. file size: 240 MB.

Instructions