Together Today... For Our Children Tomorrow

Council of Yukon First Nations

2166 2nd Avenue

Whitehorse, Yukon Y1A 4P1

Tel: (867) 393-9236 Fax: (867) 668-6577

APPLICATION FOR BOARD NOMINATIONS

APPLICATION CHECKLIST

Make a note of the application deadline

Request a letter of support from employer

Answer all questions in the application form

Attach current resume to application

Attach letter of support to application

Sign and submit application package before deadline

**INCOMPLETE OR LATE APPLICATION PACKAGES WILL BE FORFEITED**

PERSONAL INFORMATION

Applicant Name: / Date:
Gender: / Age Category (18-30):
Street Address:
PO Box Number: / City/Town:
Territory/Province: / Postal Code:
Telephone (Work): / Telephone (Home):
E-mail:
First Nation: / Beneficiary: Yes  No

WHICH BOARDS ARE YOU INTERESTED IN SERVING ON?

(If applying for more than one board, indicate your preference)

UFA Boards, Committees, Commissions & Councils: / X / Government Boards: / X
Dispute Resolution Board / Community Advisory Board
Training Policy Committee / Crime Prevention and Victim Services Trust Board of Trustees
Yukon Environment & Socio-economic Assessment Board / Education Appeal Tribunal
Yukon Fish and Wildlife Management Board / Gas Tax Review Committee
Yukon Geographical Place Names Board / Judicial Council of the Territorial Court
Yukon Heritage Resources Board / Teacher Certification Board
Yukon Land Use Planning Council / Yukon Development Corporation Board of Directors
Yukon Salmon Sub-committee / Yukon Historic Resources Appeal Board
Yukon Surface Rights Board / Yukon Hospital Corporation Board of Trustees
Yukon Water Board / Yukon Legal Services Society Board of Directors
Other Boards: / Yukon Municipal Board
CYFN Selection Committee / Yukon Police Council
Mackenzie River Basin Board
National Aboriginal Economic Development Board
Yukon College Board of Governors
Specific/Other Boards:

What Boards, Committees, Commissions or Councils do you currently sit on?

What PAST participation on Boards, Committees or Councils have you served on? Please indicate number of years.

Please provide a short summary of your relevant work history and education which will be considered in the nomination process or attach your résumé.

Why are you interested in this board? If you have checked off more than one board, please explain why for each of the boards.

Are you familiar with the Umbrella Final Agreement?------ / Yes / No
Are you willing to undertake training to learn the Agreement?------ / Yes / No
In the selection process, can we share your application and resume
with Yukon First Nation chiefs?------ / Yes / No
In the selection process, can we contact your listed past and/or, current
boards in order to complete a board evaluation?------ / Yes / No
Are you currently sitting on Chief and Council?------ / Yes / No
Can you provide a criminal record check if requested?------ / Yes / No
Are you currently employed?------ / Yes / No
If yes, can you please attach a letter from that employer supporting
your nomination?------ / Yes / No
How did you hear about these board vacancies?
Email / Newspaper / CYFN Website / CYFN Phone Call / Poster
Other

Any other comments?

Applicant Signature:
Date:

***PLEASE ENSURE THE FOLLOWING ARE ATTACHED TO YOUR APPLICATION***

Résumé

Letter of support from employer

For more information please contact Wendy Risby at (867) 393-9204 or by e-mail at / Page 1 of 4