NSCMLT Board of Directors Nomination Form

First Name(*)

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Last Name(*)

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Address(*)

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City(*)

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Province(*)

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Postal Code (A1A 1A1)(*)

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Home Phone (123-456-7890)(*)

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Work Phone (123-456-7890)(*)

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Email(*)

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NSCMLT #(*)

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Employer(*)

Please list your current employer.

Position(*)

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Nominee's Bio(*)

Please include a PDF document containing your bio.

Nominee's Consent(*)

I agree to allow my name to stand for election to the position of the Board Directors. If elected, I pledge to uphold the Act and Regulations as outlined in the Act of the NSCMLT, and carry out the duties and responsibilities of the office and such additional duties as may be assigned during my term to the best of my ability. Please accept the terms of submission.

Note: The NSCMLT does not provide salary replacement for its elected or appointed Board Members attending meetings, but does provide travel expenses. Most NSCMLT meetings are held Wednesday or Thursday evenings and are for 2 hours and you may participate online or in person.

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NSCMLT Board of Directors Nomination Form

NSCMLT Board of Directors Nomination Form

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