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Nomination Form For Elected Position
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ANNUAL REPORT
NOMINATION FORM FOR ELECTED POSITION
Nominations close on July 1st, 2017
Mr.
Mrs.
Ms.
Nominee’s first name:
Nominee’s last name:
Email:
Phone (including country & area codes):
Fax (including country & area codes):
Full contact address:
Nationality:
Date of birth:
Nomination for which Position:
President
Treasurer
Secretary
Member at Large
Please outline recent and current experience in the camp/outdoor field including reference to any international meetings, workshops or conferences connected with camping and outdoor experience (Max : 500 Character):
Statement of intent: Please outline a platform or objectives in serving in the position indicated (Max : 500 Character):
I agree to meet the obligations as outlined for the position:
Yes
No
Nominator’s first name:
Nominator’s last name:
Nominator’s email:
Please attach a photo (head and shoulders) here (Min : 1000 x 1000)(Optional):
Delete image
required
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