Please print this page, fill it out and mail it to the address at the bottom of the page

VISION STATEMENT

The Canadian Women's Health Network is a network of individuals, groups, organizations, and institutions concerned with women's health. The CWHN recognizes the importance of information sharing, education and advocacy for women's health and equality. We work to build and strengthen the women's health movement in Canada and throughout the world. Health is a human right that, because of poverty, politics and dwindling resources for health and social services, eludes many women. Guided by a women-centred, holistic vision of women's health, the CWHN recognizes and respects the diverse realities of women's lives and takes an active stance in ending discrimination based on gender, region, race, age, language, religion, sexual orientation or ability. We function in English and French, and recognize the need to produce materials in other languages and alternative formats.

The CWHNBoard is Primarily a governance body. It deals with broad-based issues that cut accross health matters for diverse groups of women. Those seeking nomination to the Board of Directors must support the vision statement of the CWHN.

Please check the statements that apply to you:

• I support the vision statement of the CWHN
• I understand that the CWHN Board is primarily a goverance body
• I am an individual member in good standing of the CWHN

My language(s) of communication is (are):

• English
• French
• Other(s)

I am able to communicate by:

• Email
• Telephone
• Fax
• I am interested in learning to use email

1. Why are you interested in being on the Board of Directors of the CWHN?

2. What are your experiences in working for change in the field of women's health? If you have been involved with groups, associations or organizations in the area of women's health, what has been the nature of your involvement?

3. Do you have skills or experience in any of the following areas?

4. What other skills and/or particular interests would you bring forward to the Board of Directors?

5. How would you describe your personal philosophy and vision for the women's health movement in Canada?

6. The CWHN takes its equity policies very seriously. The 12 positions on the Board of Directors correspond to the variety of regions and reflect the diversity of the Canadian population. Particular attention will be given to ensuring the presence of women of all ages, of diverse socio-economic backgrounds and maintaining balance between urban and rural women. Could you describe your experiences or background in this context?

Signature: Date:

Please list two members of the CWHN or two individuals who support the CWHN vision and goals.

The following two members of the CWHN or two individuals support my candidacy. They are willing to be contacted by the Nominating committee members.

Please send your résumé along with a printed (hardcopy) version of this application form to :

Please note: CVs are NOT to be longer than three pages.