2026 Board of Directors Nomination Form

Nominee Information

Name*

First Last

Phone*

Email*

CEN Member Type

Type*

Independent Member

Organization Member (Ethics Lead)

Please indicate the name of your organization

Length of Term for Nomination

Length*

2 year

3 year

2 or 3 year

Leadership and Professional Experience

Current Work*

Position and Title*

Company Name

Company Address

Does the nominee have any board member experience?*

Yes

No

Why are you interested in being a CEN Board Member?*

Please provide a brief biography of your professional, Board or other experience*

Person Submitting Nomination

Same as above (self-nomination)*

Yes

No

Name*

First Last

Phone*

Email*

Disclosure/attestation

I verify the following with respect to the nominated individual:*

The individual is 18 years of age or older

The individual has not been deemed incapable

The individual does not have a status of bankrupt

Consent to sharing details

Consent*

The individual consents to their short biography (as submitted above) being posted to the CEN website for CEN members to review for the duration of the required election posting period prior to the AGM, as set out in the CEN by-laws.

Enter email for a copy of this submission*

(Please also check your spam/junk folder if you don’t receive a copy to your inbox.)

Submit

By clicking ‘Complete’ you consent to the electronic submission of the Board of Directors nomination form for election and the disclosure noted above.