IEEE Toronto Elections Nomination Form 2019
Please use this form to nominate yourself for the position of Chair, Vice-Chair, Secretary or Treasurer of the IEEE Toronto Section for the years 2020-2021.

Nomination Deadline: July 12, 2019, EBD (End of Business Day)

If you would like to submit nominations for multiple positions, please complete a separate form for each position.
Sign in to Google to save your progress. Learn more
Email *
Candidate Name: *
IEEE Member Number: *
IEEE Member Rank: *
Position Applying For: *
Employment Status: *
Employment Status for "Other":
Highest Education Level Obtained: *
Highest Education Level for "Other":
Preferred Phone Number: *
Mobile Number: *
If Employed or Self-Employed:
Employment Title or Position:
Business Name:
Business Address:
Previous Volunteer Experience:
Please list previous volunteer positions that you have held, most recent first.
First Position (if available):
Organization:
Position:
Term of Office Start Date:
MM
/
DD
/
YYYY
Term of Office End Date:
MM
/
DD
/
YYYY
Second Position (if available):
Organization
Position:
Term of Office Start Date:
MM
/
DD
/
YYYY
Term of Office End Date:
MM
/
DD
/
YYYY
Third Position (if available):
Organization:
Position:
Term of Office Start Date:
MM
/
DD
/
YYYY
Term of Office End Date:
MM
/
DD
/
YYYY
At a later stage, Shortlisted Candidates will have to provide:
- 1-page short CV
- A short (500 characters) candidacy statement
- A statement of non-conflict between their employment (if any) and their serving as officer of IEEE Toronto.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of IEEE. Report Abuse
Google Forms