Internal Ballots – Nominated Candidate Statment Submission

The following form should only be completed by candidates who have reached the required nomination threshold in the upcoming Internal Ballots.

Name*
First Last
Phone
Email
Membership number*
Do you wish to submit a new statement?*
If you select NO and do not wish to submit a new statement, then the statement previously submitted for the nomination stage will be used.
Which committee have you been nominated for?
Position you have been nominated for*
Position you have been nominated for*
Candidate name (as it will appear on the ballot/booklet)*
Supporting Statement

Please provide a supporting statement of up to 200 words

If more than 200 words are submitted, the printed text will end on word 200. You are responsible for checking spelling and grammar.
Supporting statement
Maximum 200 words
Photo Upload
If you wish to submit a photo for the ballot, please upload one here.
Max. file size: 50 MB.

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