2020 Board Public Representative
Nomination Form

Nominee Information

Question Title

* 1. Name

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* 2. Contact information

Address

City/Town

Province

Postal Code

Phone Number

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* 3. Current position title

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* 4. Employer

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* 5. By checking this box, I consent to be included as a board public representative nominee.

Yes

Nomination Endorsement

Nominations must be endorsed by two nominators.

Nominator One

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* 6. Name of nominator

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* 7. Contact information

Phone number

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* 8. In lieu of a signature, by checking this box I confirm that this individual has consented to nominate me.

Yes

Nominator Two

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* 9. Name of nominator

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* 10. Contact Information

Phone number

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* 11. In lieu of a signature, I confirm that this individual has consented to nominate me.

Yes

Statement of Intent

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* 12. Your statement of intent will be posted alongside your name on the voting ballot (200 word maximum). Please provide a brief description of:

Why you want to be on the Association's board of directors

The skills you will bring to the board of directors

Attachments

Question Title

* 13. Nominee resume/cirriculum vitae (CV)

PDF, DOC, DOCX file types only.

Choose File

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* 14. Nominee headshot (photo)

PDF, DOC, DOCX file types only.

Choose File

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* 15. Letter of Support (nominator one)

Please provide a brief description of why the nominee should be on the Association's board of directors and the skills they would bring.

PDF, DOC, DOCX file types only.

Choose File

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* 16. Letter of Support (nominator two)

Please provide a brief description of why the nominee should be on the Association's board of directors and the skills they would bring.

PDF, DOC, DOCX file types only.

Choose File

Question Title

* 1. Name

Question Title

* 2. Contact information

Question Title

* 3. Current position title

Question Title

* 4. Employer

Question Title

* 5. By checking this box, I consent to be included as a board public representative nominee.

Question Title

* 6. Name of nominator

Question Title

* 7. Contact information

Question Title

* 8. In lieu of a signature, by checking this box I confirm that this individual has consented to nominate me.

Question Title

* 9. Name of nominator

Question Title

* 10. Contact Information

Question Title

* 11. In lieu of a signature, I confirm that this individual has consented to nominate me.

Question Title

* 12. Your statement of intent will be posted alongside your name on the voting ballot (200 word maximum). Please provide a brief description of: Why you want to be on the Association's board of directors The skills you will bring to the board of directors

Question Title

* 13. Nominee resume/cirriculum vitae (CV)

Question Title

* 14. Nominee headshot (photo)

Question Title

* 15. Letter of Support (nominator one)

Question Title

* 16. Letter of Support (nominator two)

* 12. Your statement of intent will be posted alongside your name on the voting ballot (200 word maximum). Please provide a brief description of:

Why you want to be on the Association's board of directors

The skills you will bring to the board of directors