2022 CCSA BOD Nomination Form Question Title * Date of Completion MM/DD/YYYY Date Question Title * Board of Director position nominee is seeking for: Long Term Care Director Seniors Supportive Living Director Question Title * Name of Nominee: Question Title * CCSA Member Organization: Question Title * Contact Information: Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * We hereby nominate the following for the selected position (as above) Question Title * Name of Nominator Question Title * Nominator Contact E-mail (one e-mail address is sufficient): Submit
