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2024 Board Director Nomination Form
Nominees for the board must be members of ARNM and, if currently practising, registered (with no limitations on practice) with their applicable college.
Nominee Information
*
1.
Name
(Required.)
*
2.
Are you a member of ARNM?
(Required.)
Yes
If not a current member, please contact us to register at info@arnm.ca
*
3.
Are you a member of the following:
(Required.)
CLPNM
CRNM
CRPNM
None of the above
4.
Registration/ID number
*
5.
Contact information
(Required.)
Email
Phone Number
*
6.
By checking this box, I consent to be included as a board director nominee.
(Required.)
Yes
*
7.
By checking this box, I consent to have reviewed and agreed to the
Conflict of Interest Policy
.
(Required.)
Yes
*
8.
By checking this box, I consent to have reviewed and agreed to the
Board Director Job Description
.
(Required.)
Yes
Nomination Endorsement
Nominations must be endorsed by two ARNM members.
Nominator One
*
9.
Name of nominator
(Required.)
10.
Registration/ID number
*
11.
Email address
(Required.)
*
12.
In lieu of a signature, by checking this box I confirm that this individual has consented to nominate me.
(Required.)
Yes
Nominator Two
*
13.
Name of nominator
(Required.)
14.
Registration/ID number
*
15.
Email address
(Required.)
*
16.
In lieu of a signature, by checking this box I confirm that this individual has consented to nominate me.
(Required.)
Yes
Statement of Intent
*
17.
Your statement of intent will be posted alongside your name on the voting ballot (maximum 200 words). Please provide a brief description of:
Why you want to be on ARNM's board of directors
The skills you will bring to the board of directors
(Required.)
Attachments
*
18.
Nominee resume
(Required.)
Choose File
No file chosen
19.
Nominee headshot (optional)
Choose File
No file chosen
*
20.
Letter of Support (nominator one )
(Required.)
Please provide a brief description of why the nominee should be on ARNM's board of directors and the skills they would bring.
Choose File
No file chosen
*
21.
Letter of Support (nominator two)
(Required.)
Please provide a brief description of why the nominee should be on ARNM's board of directors and the skills they would bring.
Choose File
No file chosen