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BC/Yukon Regional Executive Nomination Form
*Please note, the nominator may be contacted by the Institute to confirm the nomination of the candidate. A lack of confirmation will disqualify the nomination.
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* Indicates required question
Full Name of Candidate
*
Your answer
Full Address
*
Your answer
Email
*
Your answer
Cell Number
*
Your answer
Work Number
*
Your answer
Branch
*
Your answer
Group
*
Your answer
Department
*
Your answer
Please provide a brief description of the candidates qualifications and experience. Candidates must be a member in good standing (not a RAND).
*
Your answer
I hearby accept this nomination for the above position.
*
Yes
Required
Nominator Full Name
*
Your answer
Nominator Email Address
*
Your answer
Nominator Phone Number
*
Your answer
Date
*
MM
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DD
/
YYYY
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