L'Institut professionnel de la fonction publique du Canada

Ontario Medical Physicists (MP) Elections - Nomination Form 2018 (Anglais)

The following two regular Ontario Medical Physicists (MP) Group Members of the Professional Institute of the Public Service of Canada

hereby nominate (Please print) to be a candidate for

the position of (Please print) on the MP Group Executive.


I, (Please print) , accept the above nomination.

Candidate’s Signature & Date:

“Nominations must be supported by at least two (2) members of the Group and the nominee must indicate a willingness to serve if elected. ”

Nominator's Name - Office Phone # - Date - Signature

1. (Please print)

2. (Please print)

All candidates are invited to submit their résumés, of 200 words or less in MS WORD format, stating their experience/objectives by e-mail to Linda Rochefort at group_elections@pipsc.ca as soon as possible. The résumés of candidates are listed by position.

NOTE: It is the responsibility of candidates to review their résumés before they are submitted. The résumés will not be proofread and corrections will not be made. They will be inserted into the Elections Newsletter as submitted by candidates.