BCFNHA Group Executive Election-Nomination Form
Executive Election-Nomination Form
I, of the BCFNHA Group, hereby express my willingness to serve on the BC First Nations Health Authority Group Executive, for the position of .
Signature / Date
Home Address: / Telephone / E-Mail
Work: / Work:
Home: / Home:
The nomination must be supported by at least two (2) Regular Members in good standing with the FNHA Group. Due to many of our members working in different locations, members who wish to nominate a candidate can indicate their support by signing this form and submitting it, or by an email confirming their support, including their name and contact information.
Name (Print) / Signature
1.
2.
Nomination forms must be received by the Elections Committee at the Institute’s National Office no later than Thursday, November 23 at 12:00 PM (noon) via email group_elections@pipsc.ca