Home > Nomination Form to Serve on the Board of Directors from January 1, 2025 to December 31, 2025

Nomination Form to Serve on the Board of Directors from January 1, 2025 to December 31, 2025

*The field must be completed

Self Nomination
Name of nominee*
Nominee's pronouns (optional)
I would like to get involved with one or more of the following committees:*
- Scholarship Committee
- Every Member Campaign (EMC) Committee
- CFRE (Certified Fundraising Executive) Committee
- Sponsorship Committee
- Communications Committee
- Fundamentals of Fundraising Committee
- Diversity (I.D.E.A.) Committee
- Education Committee
- National Philanthropy Day – Logistic Committee
- National Philanthropy Day – Awards Committee
- Membership Committee
- Mentorship Committee
- Government Relations Committee
- Strategic Plan Committee
- Finance Committee
Member #*
Certification
Area of employment*
Nominee's organization*
Nominee's organization annual budget*
Nominee's professional position title*
Nominee's phone number*
Nominee's mobile number*
Nominee's email*
Address*
City*
Postal Code*
Province*
Service to AFP

Activity Dates

In the past three years, please list chapter, national and international AFP activities with dates of service (i.e. Chapter President; Committee Service; Attended International Conference).
Service to other non-profit organizations

Activity Dates

In the past three years, please list membership and activities in other professional fundraising associations and groups and / or community volunteer services.
I am a donor for the Every Member Campaign (EMC)*
- Yes
- No
List what expertise/skill sets you would bring to the AFP Quebec Board: (describe in detail)*
AFP is committed to the principles embedded in IDEA (Inclusion, Diversity, Equity andAccess). Using an example, demonstrate your commitment to one or more of the IDEA principles
Why do you wish to serve on the AFP Quebec Board?*
LEGAL VERIFICATION REQUIRED*
- I declare that I am 18 years of age or over (S. 327 CCQ).
- I declare that I am not under tutorship or a protection mandate (S. 327 CCQ).
- I declare that I am not in bankruptcy(S. 327 CCQ).
- I declare that am not prohibited by court from holding this office (S. 327 CCQ).
- I declare that I have not been found guilty, have not pleaded guilty and have not been held civilly responsible for any litigation, claim, or penal or civil judgment or verdict related to my work in the area of fundraising.
Nominee's Short Bio*
Max. file size: 50 MB.
Photo du nominé(e) (JPG)*
Max. file size: 50 MB.
DEMOGRAPHICS

One of our goals is that AFP Quebec reflects a diverse and inclusive community, evolving and enhancing our national influence and mission impact. Fundraising professionals reflect the diversity of the communities we serve. We work to address the needs of a diverse society. We welcome and support a diversity of individuals and offer pathways for their success.
AFP Quebec champions inclusiveness as an essential source of vitality and strength for theeffective pursuit of our organization’s mission. We strive to create a welcoming and diverse boardwhere all members feel they belong, feel heard, and are appreciated for their unique contributions. To help us do so, we developed an AFP Canada policy on IDEA (Inclusion, Diversity, Equity,Access) and and have put in place a Code of conduct setting out the behavior expected of Board members.
In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of allour members and volunteers, please consider answering the following optional questions (note: you can select “prefer not to answer” should you wish not to respond). Submission of this information is voluntary. Responses will remain confidential to the Nominating Committee and will be used only for reporting to the board of directors. When reported, data will not identify any specific individuals. The data is to ensure that a diverse pool of applicants are applying to the board.
Note: the demographics below are adopted from Statistics Canada’s Census Profile, 2016 Census and the Statistic Canada list of ethnic origins 2016.
What year were you born?
- 1950 or prior
- 1951 – 1960
- 1961 – 1970
- 1971 – 1980
- 1981 – 1990
- 1991 – 2000
- 2001 – Present
- Prefer not to answer
How do you describe your gender identity?
- Agender
- Gender Fluid
- Gender non-conforming or Gender queer
- Intersex or other related terms
- Man or Male or Masculine
- Non-Binary
- Transgender Woman or Female or Feminine
- Transgender Man or Male or Masculine
- Two Spirit
- Woman or Female or Feminine
- Prefer not to answer
- Other
What is your primary language?
- French
- English
- Prefer not to say
- Other
Please list secondary languages.
- French
- English
- Other
Please select all racial/ethnic groups that apply to you:
- Aboriginal/Indigenous Peoples (includes those who identify as First Nations (Status, non- Status, Treaty), Métis, Inuit, Native American)
- East Asian (e.g., Chinese, Taiwanese, Japanese, Korean, etc.)
- Multiracial
- Non-white Latin, South, Central American or Caribbean
- Non-white West Asian or Arab (e.g., Iranian, Afghani, Lebanese, Egyptian, Iraqi, Armenian, Israeli, etc.)
- Person of African ancestry (Black)
- Person of European ancestry (White)
- South Asian (e.g., Bangladeshi, Pakistani, Indian, Sir Lankan, etc.)
- South East Asian (e.g., Vietnamese, Thai, Cambodian, Malaysian, Filipino/a, etc.)
- Prefer not answer
- Other
What is your sexual orientation?
- Asexual
- Bisexual
- Fluid
- Gay or Lesbian
- Pansexual
- Straight/Heterosexual
- Two Spirit
- Prefer not to answer
Do you have a disability? (Persons with a disability are people who have a chronic, long-term or recurring physical, sensory, mental or intellectual impairment.)
- Yes
- No
- Prefer not to answer
In addition to the above, to which other area of diversity do you self-identify? Please list thegroup(s).
Submission Deadline

Nominations Due – September 17, 2024 5 p.m.
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