LawPRO Home

LAWPRO Board Membership Expression of Interest for Independent Directors



* indicates required field
Contact Information

Title


First Name *


Last Name *


Email Address *

Primary Address *

Street Address *
Address Line 2
City *
Province *
Post Code (e.g. A2A 2A2) *
 
     
Telephone (daytime) *
  
     
Fax
  
     
Mobile
  

Secondary Address

Street Address
Address Line 2 
City
Province
Post Code (e.g. A2A 2A2)
  
     
Telephone
  
     
Fax
  

Application Questions

Please indicate if you are a licensee of the Law Society *


If applicable, please enter your licensee number

1. Educational Background
Please indicate the institution attended, degree or credentials attained and year of completion.


2. Professional and Employment Background
Please provide a chronology of all relevant work experience, including a description of consulting projects, starting with the most recent. Indicate employer, your title/position, the dates you held the position, and a summary of your responsibilities.


3. Community Involvement
Please include the name of the organization served, your position and the dates you were involved.


4. Memberships in professional organizations (if applicable)


5. Do you have a high degree of proficiency in reading, writing and speaking English?


        Yes         No


    Do you have a high degree of proficiency in reading, writing and speaking French?


        Yes         No


    Can you speak or write any other languages? If so, please indicate:


6. LAWPRO is committed to promoting inclusion. Therefore, we are including the following voluntary question. Please check any of the following characteristics to which you self-identify, if you wish (select all that apply):

Aboriginal (including First Nations, Status Indian, Non-Status Indian, Inuit, Métis)
Racialized / Person of Colour / Ethnic Origin
Transgender/Transexual
Gay/Lesbian/Bisexual
Francophone
Person with Disabilities
Other


7. Please indicate one or more skillsets that you could bring to the LAWPRO Board as an independent director:

Legal
Insurance Industry
Finance & Accounting
Regulatory Framework
Investments
Technology
Personnel/Management
Employee Engagement
Strategic Planning
Marketing
Networking
Governance


8. Additional Information
Include any additional skills or experience that you regard as relevant.


The personal information requested on this Expression of Interest Form is being collected and used by LAWPRO to identify potential candidates for the LAWPRO Board. Additional personal information will be required from you if you are a candidate who is considered for the Board. This information will not be disclosed except as required for the above-noted purpose. Any questions about the collection, use or disclosure of personal information requested on this form should be directed to the LAWPRO Chief Privacy Officer at 416-598-5800.

I have read the above statement. *

Please type the code shown in the image:
        

     

 

© 2022 Lawyers' Professional Indemnity Company (LAWPRO). All Rights Reserved.

Privacy  |  Legal  |  Terms & Conditions  |  Refunds & Returns  |  Feedback  |  Accessibility  |  Anti-Spam