BCTF Curriculum Vitae Online Submission Form

*Committee or Task Force applying for:

*Email address for confirmation:

*First Name: *Last Name:

*Home Address:

*City/Town: *Postal Code:

*Phone: Work Phone:

School Name/Place of Work:

Teaching Assignment: *Local:

Because the BCTF has an affirmative action policy, applicants may wish to provide, on a voluntary basis, information as to whether they self-identify as a member of one or more equity-seeking groups. This includes women, racialized persons, Aboriginal persons, persons who are trans, gender diverse or two-spirit, persons with a disability, and persons who are lesbian, gay or bisexual.

NOTE: If you are currently on sick leave and/or in receipt of Health and Wellness or SIP benefits, and expect to be so during any portion of the term of this position, your application will not be considered at this time. However, you are encouraged to apply to any Federation position at a future date.

STATEMENT

*Define the major issue(s) you see facing this committee or task force and make a general statement about your approach to the issue(s).

ACADEMIC QUALIFICATIONS

Degree	Year	University	Major field(s)	Minor field(s)

Other relevant education or training:

TEACHING EXPERIENCE (list most recent experience first)

School	Grade level(s)	Dates

EXPERIENCE ON A BCTF OR LOCAL COMMITTEE OR TASK FORCE OF SIMILAR NATURE (indicate dates of involvement)

LIVED EXPERIENCE (as it relates to the work of this committee)

OTHER PROFESSIONAL AFFILIATIONS/OTHER RELATED EXPERIENCE (e.g., PSA, community groups)

NOMINATED BY (Professional Development co-ordinator nominations must be by local. Nominations for most other committees may be made by any BCTF member, groups of members, PSA, or local. Self-nominations are also accepted.)

Name:

Address:

Phone:

Work phone:

REFERENCES (All references may be checked.)

*Name:

Position:

*Phone:

Work phone:

Address:

*Name:

Position:

*Phone:

Work phone:

Address:

The information in this submission will be treated as confidential and will not be retained. However, the submission data will be made available to the Executive Committee and the staff members who co-ordinate the program. For those positions elected by the Representative Assembly, the information will be provided to members of the Representative Assembly.

NOTE: All nominees will be informed of the Executive Committee's decision concerning appointments made.

BCTF Curriculum Vitae Form

STATEMENT

ACADEMIC QUALIFICATIONS

TEACHING EXPERIENCE (list most recent experience first)

EXPERIENCE ON A BCTF OR LOCAL COMMITTEE OR TASK FORCE OF SIMILAR NATURE (indicate dates of involvement)

LIVED EXPERIENCE (as it relates to the work of this committee)

OTHER PROFESSIONAL AFFILIATIONS/OTHER RELATED EXPERIENCE (e.g., PSA, community groups)

NOMINATED BY (Professional Development co-ordinator nominations must be by local. Nominations for most other committees may be made by any BCTF member, groups of members, PSA, or local. Self-nominations are also accepted.)

REFERENCES (All references may be checked.)