Trustee Nomination Form

Trustee Nomination Form

Salt Spring Island Fire Protection District
Candidates shall be nominated by two duly qualified electors of the Salt Spring Island Fire Protection District.
Nominee:
The Nominee, who agrees to this nomination:
- is a Canadian citizen
- is 18 years of age or older
- has resided in BC for at least six months before general voting day
- is an owner of land in the Salt Spring Island Fire Protection District
- is entitled to be registered as a voter, persuant to the provisions of the Letters Patent incorporating the SSIFPD
Nominated Person*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Would you like to upload any documents (optional)?

Cancelof
Signature

To the best of my knowledge, the Information provided in this document is true, and I am qualified to be nominated to the Office of Trustee
Date*

MonthDayYear
Date
Nominator 1:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Signature

To the best of my knowledge, the person nominated is qualified to be nominated for the Office of Trustee of the Salt Spring Island Fire Protection District pursuant to the provisions of the Letters Patent of the said Fire Protection District.
Date*

MonthDayYear
Date
Nominator 2:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Signature

To the best of my knowledge, the person nominated is qualified to be nominated for the Office of Trustee of the Salt Spring Island Fire Protection District pursuant to the provisions of the Letters Patent of the said Fire Protection District.
Date*

MonthDayYear
Date
Should be Empty:

Trustee Nomination Form

Nominee:

Nominator 1:

Nominator 2: