Executive Committee Officer Nomination Form – For the Term 1 January 2023 – 31 December 2024

Candidate Information

Position nominating for?*
Full Physical Mailing Address*
agreement*
The candidate agrees to serve if elected.*

Nomination Option

nom option
How will you nominate your candidate?*
If you Select this option, please contact [email protected] immediately
Nomination is forwarded to the Nominations committee (recommended option)

Nominator Information

Full Mailing Address*
Candidate Position Statement (1000 word limit)*
Candidate Biography (500 word limit)*
An electronic photograph is required*
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, psd.