I, regular member of the (Region) hereby
express my willingness to serve on the CFIA Veterinary Medicine (VM) Group Executive.
WORK PHONE NUMBER:
WORK E-MAIL ADDRESS:
HOME PHONE NUMBER:
HOME E-MAIL ADDRESS:
Please accept my nomination for the following position (check one only):
NOTE: A candidate may run for only one executive office. The nomination must be supported by at least three (3) Regular Members of the CFIA-VM Group. The names must be clearly printed and signatures for all sponsors are required.
The following regular members in good standing of the CFIA Veterinary Medicine Group sponsor me for nomination to the CFIA-VM Group Executive.
PLEASE PRINT / SIGNATURE
Candidates are encouraged to include with their nomination form a 200 word write-up, submitted in Word format, on why members should vote for them.
Nomination forms must be received by e-mail (with scanned nomination attached) to firstname.lastname@example.org no later than noon (Ottawa time) November 15th, 2017.