2024 CPHA Board of Directors Nomination Form

The Nominee must be a CPHA member in good standing.

The nomination form must be accompanied by:

  • A statement of eligibility (maximum 500 words) from the Nominee indicating how their experience fits with the skills and strategic areas being sought by the Nominating Committee; and
  • The contact information of the two (2) nominators.

In addition to the above, candidates have the option to include any or all of the following at their discretion:

  • Photo (head and shoulders)
  • Link to a video message
  • Link (one) to an online profile (e.g., LinkedIn)
Complete nominations must be submitted by Wednesday 4 September 2024 at 23:59 (PT).

If paying a membership fee creates a financial barrier to participation, a prospective nominee should contact nominations@cpha.ca to discuss the possibility of a reduced or waived membership fee.

NOMINEE

*NAME

*ADDRESS

*CITY

*PROVINCE/TERRITORY

*POSTAL CODE

*TELEPHONE (daytime)

*E-MAIL

*I hereby acknowledge and give my consent as a Nominee for the CPHA Board of Directors 2024 Elections.
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