London Candidate Nomination Form for 2021-23

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Please complete this form by 11:59 PM ET on Mar. 19, 2021, to nominate a candidate for office in the London chapter elections.

Email *

Name *

First and last name

Phone number *

Full name of the person being nominated *

If the person being nominated is different from the person completing the form, please provide the email address and phone number to contact the nominee.

Which position(s) are you nominating for? *

Chair

Vice-Chair

Secretary

Treasurer

Member-at-Large

Required

To comply with the DACA Bylaws, DPCA Charter, and policies of the Democratic National Committee, the Chapter Chair and the Chapter Vice Chair shall be of different sexes, as declared by each candidate in advance of the election. From the DACA Bylaws, the term “sex” is defined as male, female, intersex, or any other classification of sex or gender that is legally recognized by any province, state or federal jurisdiction within Canada or the United States of America. Please indicate Sex if nominating for Chair, and/or Vice Chair.

Female

Non-binary

Male

Clear selection

Candidate Statement (maximum of 300 words) *

Include any social media handles (not counted towards 300 word limit)

A copy of your responses will be emailed to the address you provided.

Submit

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