Please provide details of any business or private, political interest or
personal connections which might be relevant to the work of the Board concerned.
These could include financial interests or share ownership, membership or
societies, activities, associations or employment of a partner or friend in the
particular field in which the public Board operates.
Any potential conflicts of interest detailed here will not prevent your
expression of interest being considered but may, if appropriate, be explored
with you as part of the appointments process.
I understand additional personal information may be required from me if I am
a candidate who is considered for appointment. Personal information about me may
be collected from the Government of the Northwest Territories and used to
evaluate suitability as a candidate, as well as, to verify the truth and
accuracy of the information provided, and for no other purpose.
Privacy Act Statement
This information is being collected under the authority of the Access to Information and Protection of Privacy Act (ATIPP)
The privacy provisions of ATIPP protect this information.
Personal information is defined under ATIPP. All applicants have the right to
examine and request correction of his or her records and to request a review by
the Information and Privacy Commissioner.
If you have any questions about the collection of information,
Information and Privacy Commissioner
5018 – 47 Street
Yellowknife NT X1A 2N2
Phone (867) 669-0976 or toll free 1 (888)