B.C. Ferry Authority
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Online Nomination Form for Appointment to the Board of Directors

BC Ferries makes no representation or warranty that this online form affords complete security. Any personal information is tendered entirely at the users' own risk. If you have concerns, please use the printable form and submit it to the appropriate Regional District Office.

Please indicate for which region you are applying
TO BE COMPLETED BY NOMINEE
The information on this Nomination Form is collected because you wish your name to be considered for appointment to the Board of Directors of B.C. Ferry Authority. The information obtained on this form will be used to assess your candidacy. Please note that you have the option of filling out and submitting your information online through this website, or printing out a PDF version of the form, filling it in, and sending it to the Regional District Offices (click here for addresses). It is your sole responsibility to ensure that this form is received by the appropriate District Office within the timeline specified by the Regional District. (Please contact them directly for details.)
Part I - PERSONAL INFORMATION
This section MUST be completed by all nominees.
Your Name:
Home address:
Mailing address:
Telephone work:
Telephone home:
Telephone cell:
Email address:
Date of birth:
Gender:
Part II - STATUTORY QUALIFICATION
A Director of the B.C. Ferry Authority must be a "qualified individual" as defined in the Coastal Ferry Act (British Columbia). All nominees MUST answer Yes or No to all of the following questions. An affirmative answer to any of the questions in this section disqualifies a nominee from appointment to the Board.
1. I hold an elected public office (of any type)
 yes
 no
2. I am an employee, steward, officer, director, elected official or member of the British Columbia Ferry & Marine Workers’ Union
 yes
 no
3. I am an employee of a municipality, regional district, trust council or greater board within an Appointment Area
 yes
 no
4. I am currently an employee, director, officer or executive* of British Columbia Ferry Services Inc.

* “Executive” means an individual who is the Chief Executive Officer or an Executive Vice President of British Columbia Ferry Services Inc. (BCFS) or who is, despite his or her title, acting in a similar capacity or performing similar functions to a Chief Executive Officer or Executive Vice President of BCFS.

 yes
 no
Part III - BACKGROUND INFORMATION
This section MUST be completed by all nominees.
1. Educational Background
Name & Location of School or Institution Course, Program, Major field Credits, Diploma, Degree attained Dates Started - Completed
Special Courses Course Content, Duration, etc. Year Completed
2. Membership in Professional Organizations (List):
3. Professional and Employment Background. Provide a chronology of all work experience in the last fifteen years, starting with the most recent and showing clear time periods for each experience and all employers
4. Please describe why you are interested in being a Director of B.C. Ferry Authority.
Part IV - KEY SKILLS AND EXPERIENCE
The board of B.C. Ferry Authority has determined that, as a whole, it should possess skills and experience in the following five key areas (view the Key Skills and Experience Profile for the B.C. Ferry Authority PDF). An individual director is not expected to have skills and experience in each of the key areas, but should have them in more than one. Please describe your skills and indicate your job and/or volunteer experience as they relate to each of the following five areas:
1. Leadership – experience at a senior level managing the operations of a large or complex commercial or not-for-profit entity.
2. Business – experience in operating a business in British Columbia.
3. Board Experience – experience as a member of a board of directors of a commercial or not-for-profit entity.
4. Accounting and Finance – accounting or financial expertise or financial literacy, including the ability to read and interpret financial statements.
5. Legal – a law degree or experience in managing legal issues of a complex commercial nature.
Part V - INTEGRITY AND ACCOUNTABILITY:
This section MUST be completed by all nominees
1. To be a director of B.C. Ferry Authority, a potential nominee must satisfy the requirements of section 124 of the Business Corporations Act (British Columbia).
All nominees MUST answer Yes or No to all of the following questions.
i. Are you under the age of 18 years?
 yes
 no
ii. Have you been found by a court, in Canada or elsewhere, to be incapable of managing your own affairs?
 yes
 no
iii. Are you an undischarged bankrupt?
 yes
 no
iv. Have you been convicted in or out of British Columbia of an offence in connection with the promotion, formation or management of a corporation or unincorporated business, or of an offence involving fraud?
 yes
 no
If yes,
Unless the court has ordered otherwise (please specify)
1. Has at least five years elapsed since the last to occur of:
A. The expiration of the period set for suspension of the passing of a sentence without a sentence having been passed;
B. The imposition of a fine;
C. The conclusion of the term of any imprisionment; and
D. The conclusion of the term of any probation imposed?
 yes
 no
2. Has a pardon been granted or issued under the Criminal Records Act (Canada)?
 yes
 no
2. In your current or previous employment, business or personal affairs have you, or your company in which you have a direct or indirect controlling interest, in British Columbia or elsewhere:
Note: All nominees MUST mark Yes or No to all of the following questions. An affirmative answer to any of the questions in this section does not automatically disqualify a nominee from appointment to the Board.
i. Been convicted of an offence under the Criminal Code of Canada?
 yes
 no
ii. Been convicted of an offence under any other federal statutes or regulations?
 yes
 no
iii. Been convicted of any offence under any provincial statutes or regulations?
 yes
 no
iv. Been disciplined by any professional association or body?
 yes
 no
v. Been involved in any issue or controversy that has gone or is now likely to go to litigation or public review?
 yes
 no
If you have answered yes to any of questions (i) to (v) in this section, please provide details below:
3. Generally, are you aware of any facts or matters which, if publicly disclosed, could cause the B.C. Ferry Authority embarrassment or hinder the performance of your duties as a Board member?
 yes
 no
If yes, describe:
4. A director of B.C. Ferry Authority must not be in a position of conflict of interest as described in section 8 of the Coastal Ferry Act (British Columbia). Do you have, either directly or indirectly:
  a. a beneficial interest in a share, stock, bond, debenture, or other security of British Columbia Ferry Services Inc.;
  b. a significant beneficial interest in a device, appliance, machine, article, patent or patented process, or part of it, that is required or used by British Columbia Ferry Services Inc. for the purpose of British Columbia Ferry Services Inc.ís equipment or service;
  c. a significant beneficial interest in a contract for the construction of works or the provision of a service for or by British Columbia Ferry Services Inc.; or
  d. a significant beneficial interest in a corporation or other person competing with British Columbia Ferry Services Inc. for marine transportation business,
other than a beneficial interest (if any) in a publicly held mutual fund or pension fund that contains any of the investments referred to in paragraphs 4(a) to 4(d) above, where such investment makes up 30% or less of the total mutual fund or pension fund holdings.
 yes
 no
Note: An affirmative answer to any of the questions in this section does not automatically disqualify a nominee from appointment to the Board. Before being appointed to the Board, a Director who is in a position of conflict described in subsection (a) to (d) must disclose the nature and extent of the interest. A director who is in a position of conflict described in subsections (a) or (d) must eliminate such a conflict in order to serve on the Board.
4. If Yes, please describe:
Part VI - REFERENCES:
All nominees MUST provide a minimum of three references.
Name:
Occupation:
Address:
Business Telephone:
Home Telephone:
Name:
Occupation:
Address:
Business Telephone:
Home Telephone:
Name:
Occupation:
Address:
Business Telephone:
Home Telephone:
Part VII - ATTESTATION AND CONSENT:
I attest to the veracity of the information provided by me in this nomination form.

I understand that the B.C. Ferry Authority has a requirement to verify information with respect to all potential appointments, including myself to evaluate their suitability for appointment to the B.C. Ferry Authority Board.

I give consent to the B.C. Ferry Authority and its Officers, to obtain any personal information about me, either from me directly or from others. The references that I provide may be contacted and the information provided by me in relation to my request to be considered for appointment to the Board of B.C. Ferry Authority will be verified. I also consent to the disclosure of my personal information where such is necessary in order to obtain the information required to evaluate my suitability.

   
 
 

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This page revised as of 2008-07-31