Nova Scotia College of Medical Laboratory Technologists

NSCMLT Board of Directors Nomination Form

NSCMLT Board of Directors Nomination Form
  1. First Name
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  2. Last Name
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  3. Address
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  4. City
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  5. Province
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  6. Postal Code (A1A 1A1)
    Please type your postal code in the following format: A1A 1A1.
  7. Home Phone (123-456-7890)
    Please enter your phone number in the following format: 123-456-7890
  8. Work Phone (123-456-7890)
    Please enter your phone number in the following format: 123-456-7890
  9. Email
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  10. NSCMLT #
    Please provide your NSCMLT #
  11. Employer
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  12. Position
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  13. Nominee's Bio
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    Please upload either PDF or Word file for bio.
  14. Nominee's Consent
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  15. Note: The NSCMLT does not provide salary replacement for its elected or appointed officers attending meetings. Most NSCMLT meetings are held Thursday evenings; however nominees are advised to discuss this with their employers before agreeing to nomination.

Get in Touch

380 Bedford Highway, Suite 202
Halifax, Nova Scotia B3M 2L4

Email: info@nscmlt.org

Phone: 902-453-9605

Toll Free: 888-897-4095 (NS only)

Fax: 902-454-3535