Vancouver Branch Executive Nomination Form

Deadline date for receipt of written nominations: Sunday, December 2, 2018.

NAME (print):

ADDRESS:

PHONE:

HOME:

OFFICE:

EMAIL:

GROUP:

DEPARTMENT:

I am a member in good standing and I hereby accept the nomination for a position on the Vancouver Branch Executive.

SIGNATURE

DATE

Names and signatures of nominating members in good standing.

Note that at least 3 (three) are required.

1.	(Name)	(Signature)
2.	(Name)	(Signature)
3.	(Name)	(Signature)
4.	(Name)	(Signature)
5.	(Name)	(Signature)
6.	(Name)	(Signature)

NB: The nominee should prepare a brief resume of no more than 200 words of their qualifications and experience. For further information contact the election committee chair, Behzad Mehrabadi at behzadian2000@hotmail.com. Please email the nomination form by Sunday 2 December 2018 to pipscvanbranch@gmail.com or fax to the PIPSC Vancouver office at 604 688 8290.