CS Group - Nomination Form for Group Executive Position

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:

Email:

Phone:

Home address:

Work address:

Nomination Supported by 3 Cs members

Name

Department

Signature

Name

Department

Signature

Name

Department

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:

Deadline: Nominations and résumés must be received by March 7th, 2019 - 5:00 p.m., Ottawa time.

Nominations and résumés received after that time will not be considered.