Nomination Form – Board of Directors 2020-2021

Personal Information - Candidate
Name*
First Last
Faculty/Department*
Email*

uottawa.ca email is preferred.
Phone*
Nominated by
*Must be APTPUO member
Name*
First Last
Faculty/Department*
Email*

uottawa.ca email is preferred. *The person who made the nomination must confirm their support by email to info@aptpuo.ca before the deadline.
Seconded by
*Must be APTPUO member
Name*
First Last
Faculty/Department*
Email*

uottawa.ca email is preferred. The seconder must confirm their support by email to info@aptpuo.ca before the deadline.
Signature
Date
Date Format: MM slash DD slash YYYY
By checking the box below, I confirm that I am a member in good standing of the APTPUO*
- I confirm that I am a member in good standing of the APTPUO

Personal Information - Candidate