CUFSAA EXECUTIVE COMMITTEE NOMINATION FORM


FOURTH SCHEDULE
Form for Nomination to the Executive Committee

CUFSAA EXECUTIVE COMMITTEE NOMINATION FORM
Nominations due to the Secretary by Month, Date, Year

Eligibility:  Members of the Association in good standing and have participated in the Association activities are eligible to be nominated to the Executive Committee by submitting the Nomination form.

Terms:  The Members will serve in the Executive Committee for a two-year term.  At the end of the two-year term, the committee member’s term may be extended through a nomination followed by the vote of the current Executive Committee.

The signature of the nominee in the form certifies the understanding of the time commitment and the willingness to participate actively in the Association and serve in this capacity.

Nominee Information

1. Nominee name __________________________________________

2. Phone Number __________________________________________

3. Email Address __________________________________________

4. Position: Executive Committee Member __________________________________________

5. Nominee Bio (no more than 250 words) – Please attach

__________________________________________

__________________________________________

6. Nominee Signature and Date __________________________________________

Self Nominations are perfectly fine and encouraged.  In that case, please disregard the following information.

Nominator Information (if applicable)

1. Nominee name __________________________________________

2. Nominator Name __________________________________________

3. Nominator Phone Number __________________________________________

4. Nominator Email Address __________________________________________

The signature of the nominator in the form certifies that the nominee had been consulted and informed about the time commitment. It further certifies that nominee indicated the willingness to participate actively in the Association and serve in this capacity.

5. Nominator Signature and Date __________________________________________