Durham College Board of Governors Declaration and Consent Agreement Consent to Hold Office As an individual elected or appointed to the Board, I hereby acknowledge and declare that I: consent to act as a governor of the Corporation; am at least 18 years old; have not been found under the Substitute Decisions Act, 1992 or under the Mental Health Act to be incapable of managing property; have not been found to be incapable by any court in Canada or elsewhere; do not have the status of an undischarged bankrupt; have not been convicted of a criminal offense; am not an employee of any college of applied arts and technology (*applies to external governors only). Consent to Hold Office(Required) Yes, I declare No, I don’t declare If no, please explain(Required)Meeting Participation I consent to the holding of Board and Board committee meetings, whether partially or entirely, by telephonic or electronic means that permit all persons participating in the meeting to communicate adequately with each other during the meeting. I also consent to the participation by any governor or Board committee member at a Board or Board committee meeting by such telephonic or electronic means.Meeting Participation(Required) Yes, I consent No, I don’t consent If no, please explain(Required)Email communication I consent to accepting information or documents by electronic means at the email address noted below, such consent to continue in effect unless revoked by an instrument in writing delivered to the Corporation.Email communication(Required) Yes, I consent No, I don’t consent If no, please explain(Required)Photography Do you consent to having your photograph taken and used for college-related purposes?Photography(Required) Yes, I consent No, I don’t consent If no, please explain(Required)Canada’s Anti-Spam Legislation Durham College values the opportunity to provide you with information on our programs, events, unique business and partnership opportunities, services and more. Under the Canadian Anti-Spam Legislation, we require your consent to contact you via email with this information.Canada’s Anti-Spam Legislation(Required) Yes, I consent No, I don’t consent If no, please explain(Required)Compliance with Legislation, By-laws, Policies and Codes I confirm that I have read and understand, or will promptly read and understand, all of the policies and codes of conduct of the College applicable to me including the following policies and codes of conduct which have been approved by the board (collectively the “Policies and Codes”). By-law 1 Mission, Vision, Values and Strategic Goals Governor’s Duties and Responsibilities Governor Code of Conduct Roles and Duties of Officers Recruitment and Reappointment of External Governors Committee Terms of Reference Consent Agenda I agree to act with honesty and integrity in the best interests of the College and to comply with the Policies and Codes, the by-laws of the College and such other Policies and Codes that are applicable to the board, including: Minister’s Binding Policy Directive: Conflict of Interest. I agree to comply with the Not-for-Profit Corporations Act, 2010 (the “Act”) and the Corporation’s by-laws, and Policies and Codes.Compliance with Legislation, By-laws, Policies and Codes(Required) Yes, I confirm No, I don’t confirm If no, please explain(Required)Conflicts In accordance with the by-laws of the College, I make the following declaration: I have an interest, directly or indirectly, in the following entities which include any body corporate, partnership, not-for-profit organization, charity, association, committee or other business or charitable enterprise in which I am a director or officer (but which does not include businesses in which I own less than 2% of the issued and outstanding shares):Conflicts Add RemoveThis declaration is a general notice of interest pursuant to the by-laws of the College and applicable legislation and, accordingly, I should be regarded as interested in any contract made or transaction with any of the above entities or persons. I acknowledge that this declaration is in addition to my obligations to comply with the Minister’s Binding Policy Directive: Conflict of Interest, the conflict of interest policy and the by-laws of the College in respect of any specific conflict that may arise.Leadership Agreement In addition to the aforementioned, as a governor, I earnestly commit to: Prepare and participate to add value at all Board meetings and functions. Seek excellence by participating in the Board’s professional development program and learning sessions. Hold in confidence any information learned during the course of my time on the Board until the Board determines to make such information public. I further understand my obligation to confidentiality remains in force, even if I cease to have an association with Durham College. Honour others around the table and outside of meetings, appreciating the value that their expertise and perspective bring to our leadership responsibility. Speak with one voice outside of our meetings so that the College community receives a clear, consistent, and truthful message. I also acknowledge the Board Chair is the spokesperson for the Board when official representation is required. Avoid conflicts of interest by informing the Board whenever there is the possibility of perceived or real conflict, and by abstaining from discussion and decision-making if warranted. Uphold and model the College’s values of collaboration, diversity & inclusion, excellence, innovation, integrity, respect, and social responsibility. Leadership Agreement(Required) Yes, I agree No, I don’t agree If no, please explain(Required)By submitting this form, I declare the above information to be true and accurate to the best of my knowledge as of the date of submission.By submitting this form, I declare the above information to be true and accurate to the best of my knowledge as of the date of submission.(Required) Yes, I declare No, I don’t declare If no, please explain(Required)Name:(Required) First Last Email:(Required) Please note that all notices and communications will be sent to this email address.Date of Submission:(Required) YYYY slash MM slash DD CAPTCHA