CS Group Nomination Form 2018 Elections

Nomination Form for Group Executive Position

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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.