The Professional Institute of the Public Service of Canada
The Professional Institute of the Public Service of Canada
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NOMINATION FORM - CFIA-VM - Call for Nominations - Elections 2018

I, _ regular member of the _ (Region) hereby express my willingness to serve on the CFIA Veterinary Medicine (VM) Group Executive.         

DATE                                                

SIGNATURE

 

WORK PHONE:

WORK E-MAIL:

 

HOME PHONE:

HOME E-MAIL:

 

Please accept my nomination for the following position (check one only):

 

REGIONAL REPRESENTATIVE

❏   Ontario                           

❏    Québec                                      

❏   Atlantic

MEMBER-AT-LARGE 

❏    Member-at-large

NOTE:    A candidate may run for only one executive office.  The nomination must be supported by at least three (3) Regular Members of the CFIA-VM Group.   The names must be clearly printed and signatures for all sponsors are required.

The following regular members in good standing of the CFIA Veterinary Medicine Group sponsor me for nomination to the CFIA-VM Group Executive. 

PLEASE   PRINT /  SIGNATURE

1.

2.

3.

Candidates are encouraged to include with their nomination form a 200 word write-up, submitted in Word format, on why members should vote for them. 

Nomination forms must be received by e-mail (with scanned nomination attached) to group_elections@pipsc.ca no later than noon (Ottawa time) October 19, 2018.