Nomination Form
Faculty Elections 2025
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Full Name
*
First Name
Last Name
Membership Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Full name of the candidate you wish to nominate
First Name
Last Name
Which Faculty Committee are you nominating the candidate for?
*
Please Select
Imperial Classical Ballet
Classical Indian
Please confirm you are eligible to nominate this candidte
Please Select
I can confirm that I am a Full or Life Member of the Society and therefore eligible to nominate
I hereby act as to propose
First Name
Last Name
as a candidate for election
Signature
Date today
-
Month
-
Day
Year
Date
Submit
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