Hensall Co-op's Director Nomination Form

Director Nomination Form

2025-2026
Instructions to complete the Director Nomination Form

1. First person nominating is the person who fills in Section 1(1st Member Nominator) on the form; and the nominated person’s name in the last Sections 3 (Member Nominated).Assuming they have had a conversation already with the person they are nominating as Board Director.

2. The first person then seeks another person to fill in Section 2(2nd Member Nominator) on the form;
Member Nominator:
Nominator's Name*
Member Nominator's Name
Signature*

Clear
Member Nominator's Signature or Initials
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Member Nominator:
Second Member Nominator Name*
Second Member Nominator Name
Second Nominator Email*
Second Member Nominator's Email (Will be used to notify second nominator to fill in their section)
Signature

Clear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Member Nominated
Nominated Member's Name*
Member Nominated
Member Account#
Member Account of Member Nominated
Email*
Member Nominated's Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Director Nomination Form