2020-2022 CNA President-Elect Nomination Form// Formulaire de nomination du (de la) président(e) désigné(e)Formulaire de nomination du (de la) président(e) désigné(e)

Term: June 2020 to June 2022 // Mandat : Juin 2020 à juin 2022

Nominator

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* Nominator (must be a CNA member):
Choose membership category

Contact Person

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* Name:

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* Position:

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* Employer:

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* Address 1:

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* Address 2:

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* City:

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* Province:

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* E-mail address:

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* Business telephone:
(with area code)

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* Home telephone:
(with area code)

Nominee

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* Surname:

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* Given names:

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* Province(s) or territory(ies) of current registration and registration number(s)

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* Address 1:

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* Address 2:

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* City:

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* Province:

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* Business telephone:
(with area code)

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* Home telephone:
(with area code)

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* E-mail address:

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* Current position:

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* Employer:

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* Statement of philosophy (200 words maximum)
(This statement should demonstrate the nominee’s leadership ability for inclusion in the ticket of nominations to be published in Canadian Nurse and infirmière canadienne.)

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* By checking this box, you confirm the nominee has consented to serve as president-elect and is willing to advance to the office of president.

Yes

Required Elements
Please note: letters or e-mails can be uploaded as PDF or Word files.
Jurisdictional, Student and Specialty Nurse members require one nomination letter; family of nursing members require five.
Read more.

Éléments requis
Veuillez noter : les lettres ou les courriels peuvent être téléchargés comme fichiers PDF ou Word.
Les membres des organismes membres, étudiants et d’une spécialité infirmière doivent présenter une lettre de nomination; les membres de la communauté infirmière doivent présenter cinq lettres de nomination.
En lire davantage.

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* UPLOAD nomination letter(s)

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

Choose File

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* Other Letters 1

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* Other Letters 2

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

Choose File

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* Other Letters 3

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

Choose File

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* Other Letters 4

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

Choose File

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* UPLOAD Recent photograph (colour, high-resolution)

GIF, JPEG, JPG, PNG file types only.

Choose File

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* UPLOAD Curriculum vitae

PDF, DOCX, DOC file types only.

Choose File

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* UPLOAD Letter or e-mail from the nominee’s provincial/territorial regulatory body confirming that the nominee is a Nurse in good standing. TÉLÉCHARGEZ une lettre ou un courriel de l’organisme de réglementation provincial ou territorial confirmant que le candidat est infirmière ou infirmier en règle.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* Nominator (must be a CNA member):Choose membership category

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* Name:

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* Position:

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* Employer:

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* Address 1:

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* Address 2:

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* City:

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* Province:

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* E-mail address:

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* Business telephone:(with area code)

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* Home telephone:(with area code)

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* Surname:

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* Given names:

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* Province(s) or territory(ies) of current registration and registration number(s)

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* Address 1:

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* Address 2:

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* City:

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* Province:

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* Business telephone:(with area code)

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* Home telephone:(with area code)

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* E-mail address:

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* Current position:

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* Employer:

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* Statement of philosophy (200 words maximum)(This statement should demonstrate the nominee’s leadership ability for inclusion in the ticket of nominations to be published in Canadian Nurse and infirmière canadienne.)

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* By checking this box, you confirm the nominee has consented to serve as president-elect and is willing to advance to the office of president.

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* UPLOAD nomination letter(s)

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* Other Letters 1

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* Other Letters 2

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* Other Letters 3

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* Other Letters 4

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* UPLOAD Recent photograph (colour, high-resolution)

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* UPLOAD Curriculum vitae

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* Nominator (must be a CNA member):
Choose membership category

* Business telephone:
(with area code)

* Home telephone:
(with area code)

* Business telephone:
(with area code)

* Home telephone:
(with area code)

* Statement of philosophy (200 words maximum)
(This statement should demonstrate the nominee’s leadership ability for inclusion in the ticket of nominations to be published in Canadian Nurse and infirmière canadienne.)