I have read, understood, and agree to follow the policies, procedures and by-laws of the College with respect to confidentiality as well as section 36 and subsection 40(2) of the Regulated Health Professions Act and sections 83 and 83.1 of the Health Professions Procedural Code (attached). In the event that I have any doubt about my duties and obligations with respect to confidentiality, I undertake to seek clarification from the CEO, Council Chair, or any other person identified for this purpose in College documentation. I acknowledge and agree that the information and documents obtained by me in the course of my duties as a Council and/or Committee member are confidential and I undertake to preserve confidentiality with respect to all matters that come to my knowledge in the course of my duties. When my term as a Council and/or Committee member expires, I undertake to return to the College all materials, documents and other College information that I have obtained.

I acknowledge and agree that as a Council and/or Committee member I owe a duty of good faith to the College, which includes an obligation to act in the public interest. I undertake to perform my duties and any work undertaken on behalf of the College in a manner that promotes and protects the public interest. I acknowledge and agree that an actual or perceived conflict of interest can undermine confidence in the College and its ability to fulfill its public interest mandate. I have read and understood the College’s by-laws and conflict of interest policies (attached). I agree to take all reasonable steps to avoid any actual or perceived conflict of interest from arising and, if one cannot be avoided, I undertake to declare any real, perceived or potential conflict of interest and to remove myself from any consideration of the matter in issue.

I acknowledge and agree that I must exercise diligence in fulfilling my role and duties as a Council and/or Committee member. I have read, understood and agree to follow the College’s Code of Conduct as set out in the by-laws (attached) and, in particular, I undertake to attend all meetings unless there is a compelling reason preventing me from doing so to prepare for all meetings and to participate in discussions and to provide reasonable notification if I am unable to attend a meeting.

I acknowledge and agree that the materials and other work product I create while acting on behalf of the College, belong to the College, unless a written agreement between myself and the College in relation to specific materials or a specific work product provides otherwise. Therefore, in order to serve as a Council and/or Committee member, and for other good and valuable consideration, I acknowledge and agree, subject to any written agreement as contemplated above, that I am waiving any rights, including moral rights, that I may have in such materials and work product and further acknowledge and agree that I am assigning ownership, including all titles, interests and intellectual property rights, related to the materials and other work product I create while acting on behalf of the College. I further acknowledge that the College may undertake any action that it deems appropriate to protect its ownership, titles, interests and intellectual property rights in such material and work product.

I acknowledge and agree that if I breach a term of this Acknowledgement and Undertaking, or any of my obligations described therein, this may be grounds for removal from my position as a Council and/or Committee member with the College and may entitle the College to enforce its legal rights or to seek legal remedies against me.

I acknowledge and agree that this Acknowledgment and Undertaking shall remain in effect until my term as a Council and/or Committee member expires but that my agreements and obligations with respect to confidentiality and intellectual property continue beyond that time.

Please select the Electoral District in which you are presently seeking nomination.