Nomination for FPM elected Member Trustee 2024

Nomination for FPM elected Member Trustee 2024
Nomination for elected Member Trustee

I hereby nominate the following FPM Member for the office of elected Member Trustee. (Honorary Members are not eligible to be nominated). I note that this office carries trustee and company director status & responsibility.
Name of the Member you are nominating*

TitleFirst nameLast name
Nominee's email address*
Position and employer of the Member you are nominating*
I am nominating this individual as the:

FPM elected Member Trustee
The Member nominated for elected Member Trustee must provide a Candidate Election Statement, available from the election webpage which is submitted with this proposal form.
Candidate's Election Statement*

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Proposed by

Only current FFPM or MFPM are eligible to propose. Honorary, Assoicate and Affiliate members are NOT eligible to propose or second a nomination.
I confirm I am an:

FPM Member (MFPM, MFPMDis)FPM Fellow (FFPM)
Your name *

TitleFirst nameLast name
Your email*
example@example.com
Your signature (use the cursor to sign your name)*
Seconded by

Your nomination must be seconded by another FPM Fellow or Member.
Name of the Fellow/Member (seconder)*

TitleFirst nameLast name
Email of the Fellow/Member (seconder)*
example@example.com
I confirm I have contacted the named Fellow/Member and they have agreed to support my nomination (see below)*

Yes
Submitting your nomination

Thank you for nominating for the elected Member Trustee. You will receive a copy of this nomination by email when you submit it.

You must:

1 - Send the copy of your nomination to your seconding Fellow/Member, they need to see it before they can confirm they second your nomination.

2 - Ask your supporting Fellow/Member to complete the Seconder nomination form.
Data Protection

The Faculty of Pharmaceutical Medicine (FPM) processes the information provided in connection with your nomination following the principles of the Data Protection Act 2018. The information you provide in this nomination will be shared with FPM's Board of Trustees and in the event that a ballot is required the information provided in Candidate Election Statement will be circulated with ballot papers. Any other sharing of information will only take place with your consent or if FPM has a lawful basis to do so.
Should be Empty:

Nomination for FPM elected Member Trustee 2024

Seconded by

Submitting your nomination