SSR 64TH EXECUTIVE COMMITTEE
NOMINATION FORM
Full Name
*
Designation
*
Institution
*
SSR Member #
*
Email
*
example@example.com
Personal Biography (max 100 words)
*
0/100
What I envision contributing to the SSR
*
0/100
Which position are you running for
*
President
Vice-President
Honorary Secretary
Assistant Secretary
Honorary Treasurer
Committee Member
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Proposer's Name
*
Proposer's SSR Member #
*
Seconder's Name
*
Seconder's SSR Member #
*
Declaration
I will serve on the Council for 2 years, in my elected position or by running for another.
I have obtained the members' permission to include their member #s, and consent to my nomination.
I declare that the information provided is accurate.
Signature
Submit
Should be Empty: