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.