BC/Yukon Executive of the Year Award 2019 - Nomination Form

Nomination Form for:

BC/Yukon Executive Member of the Year Award - 2019

Purpose: The BC/Yukon Region wishes to recognize the outstanding contributions of a PIPSC member active on an executive or active in committee work of a constituent body in the BC/Yukon region.

Eligibility: All regular or retired BC/Yukon PIPSC members in good standing.

Nominee:

First and last name:

Executive position(s) held:

Reason(s) for Nomination:

(Please use additional space as required)

Note that specific examples of outstanding contributions, along with “ambassadorial” and/or professional traits or qualities are attributed that the committee will appraise.

Signatories:

A minimum of two members of two different constituent bodies (region, branches and or sub-groups is required for the nomination to be valid.

Sponsor’s name:

Representing (name of constituent body)

Sponsor’s name:

Representing (name of constituent body)

Deadline: The nomination deadline is April 26.

Please return the nomination form to bcy_nominations@pipsc.ca or by fax to 604 688.8290 or 1.800.330.1988