Application Form
All applications for the Women on Board database are assessed by an Advisory Board, which consists of representatives from member companies within the Confederation of Danish Industry.
In order for the Advisory Board to be able to evaluate your profile concerning board duties, you must fill out this form including a description of what you can contribute with to a board of directors, your current strategic and business responsibilities, your board experience, etc.
When describing your board experience, you shall distinguish between board experience in private limited companies (A/S) and/or limited liability companies (Aps) and board experience from associations, institutions and organizations that are not business related.
In addition to this application form, please enclose your CV as well as an organization chart indicating your position in the company.
Please forward all material to DI, attention Birgit Kjeldsen on .
In case you have any questions about Women on Board or the application form, please contact DI, Anna Leclercq Vrang by mail or telephone 3377 3631.
Full name:Date of birth: / Day: / Month: / Year:
Education:
Education (tick): / Science
education [ ] / Social sciences
education [ ] / Mercantile
education [ ]
Technical
education [ ] / Healthcare
education [ ] / Humanistic
education [ ]
Title: / In Danish: / In English:
Job level (tick): / CEO [ ] / CEO of own company [ ] / Professional board member [ ]
Vice President [ ] / Operations Manager [ ] / Other [ ]
Managing Director [ ] / Senior Consultant [ ]
Company:
Company address:
Phone: / Cell:
E-mail:
Please provide a short description of what your contribution to a board of directors will be:
Current position (describe in short your current position and your results in this position):
Qualifications (tick one or more qualifications):
Business strategy/profit and loss [ ] / Market insight [ ] / Risk Management [ ] / Sales and marketing [ ] / Mergers and acquisitions [ ] / Innovation knowledge and experience [ ] / Talent mana-gement [ ]
Economy [ ] / Competitor insight [ ] / Financial insight [ ] / Political and legislative conditions [ ] / Personnel manage-ment [ ] / Operational experience [ ] / Board experience [ ]
Legal
insight [ ] / Turnaround experience[ ] / HR and organization [ ] / International and global experience [ ] / Strategy and business [ ] / Other______
Industry expertise (tick industry expertise from both current and previous positions):
Trade [ ] / Transportation and logistics [ ] / Consultancy [ ] / IT [ ] / Telecommuni-cations [ ]
Foods [ ] / Energy [ ] / Construction [ ] / Services (cleaning, care, etc.). [ ] / Wood and furniture industry [ ]
Metal and engineering industry [ ] / Car industry [ ] / Pharma and
medico [ ] / Environment [ ] / Finance [ ]
Administration and HR [ ] / Biotechnology [ ] / Other
______
Strategic and business related responsibilities (describe in short the content of these responsibilities):
General strategic responsibilities (including turnover): / Specific daily responsibilities:
Management experience in your current position (description should include the number of employees you manage, experience with major organizational change and/or development activities, etc.):
Board experience in private companies (A/S and/or Aps)
(list the board of directors that you are or have been a member of including status, period of time, and total seniority):
Board / Chairman / Member elected at the annual meeting / Employee elected Member / Year (to - from)
Tick [ ] / Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ] / Tick [ ]
Board seniority (indicate total years of board experience):
Number of board positions (indicate the total number of board positions that you hold):
What measures have you taken in order to get considered for a board of directors:
Board experience from associations, institutions and organizations that are not business related.
(list the board of directors that you are or have been a member of including status, period of time, and total seniority):
Board / Chairman / Member / Year (to - from)
Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ]
Tick [ ] / Tick [ ]
Board seniority (indicate total years of board experience):
International experience (describe the positions and tasks you have/have had, which are internationally related):
Experience from association work:
Former positions (list former positions, company, and period of time):
Position: / Company: / Period of time:
Recent management training (short description):
Recommended by:
Name: / Name:Title: / Title:
Company: / Company:
Private address:
Address:Zip code and city:
Phone:
E-mail:
Cell:
Consent to use of personal data
Date:Name:
I hereby consent to DI handling the personal data passed on in my application, CV, organisation chart and other enclosed material, and that DI may pass on the information to a third party such as Women on Board Advisory Board and Bisnode/NN Markedsdata.
The purpose is that DI can evaluate and treat this application for Women on Board.
My consent can be withdrawn at any time by sending an e-mail to Birgit Kjeldsen, . / Tick [ ]
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