CS Group Nomination Form 2018 Elections
Nomination Form for Group Executive Position
Please Print
CANDIDATE INFORMATION
Name of candidate
CS Level:
Department :
Membership status
Regular : Retired : Position(s) solicited :
Home address :
Work address :
NOMINATION SUPPORTED BY 3 CS MEMBERS
Name Departement
Signature
Name Departement
Signature
Name Departement
Signature
I hereby accept nomination to the above-mentioned positions(s).
Applicant’s signature :
Resume: (optional - maximum 500 words)
The nomination form may be mailed, e-mailed, hand-delivered or faxed directly to the PIPSC National Office at:
CS Elections
Linda Rochefort
PIPSC National Office
250, Tremblay Road
Ottawa, Ontario K1G 3J8
Email: group_elections@pipsc.ca
Deadline: Nominations and résumés must be received by March 7th, 2018 - 5:00 p.m., Ottawa time.
Nominations and résumés received after that time will not be considered.