IEEE Toronto Elections Nomination Form 2019
Please use this form to nominate yourself for the position of Chair, Vice-Chair, Secretary or Treasurer of the IEEE Toronto Section for the years 2020-2021.

Nomination Deadline: July 12, 2019, EBD (End of Business Day)

If you would like to submit nominations for multiple positions, please complete a separate form for each position.
Email address *
Candidate Name: *
Your answer
IEEE Member Number: *
Your answer
IEEE Member Rank: *
Position Applying For: *
Employment Status: *
Employment Status for "Other":
Your answer
Highest Education Level Obtained: *
Highest Education Level for "Other":
Your answer
Preferred Phone Number: *
Your answer
Mobile Number: *
Your answer
If Employed or Self-Employed:
Employment Title or Position:
Your answer
Business Name:
Your answer
Business Address:
Your answer
Previous Volunteer Experience:
Please list previous volunteer positions that you have held, most recent first.
First Position (if available):
Organization:
Your answer
Position:
Your answer
Term of Office Start Date:
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Term of Office End Date:
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Second Position (if available):
Organization
Your answer
Position:
Your answer
Term of Office Start Date:
MM
/
DD
/
YYYY
Term of Office End Date:
MM
/
DD
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YYYY
Third Position (if available):
Organization:
Your answer
Position:
Your answer
Term of Office Start Date:
MM
/
DD
/
YYYY
Term of Office End Date:
MM
/
DD
/
YYYY
At a later stage, Shortlisted Candidates will have to provide:
- 1-page short CV
- A short (500 characters) candidacy statement
- A statement of non-conflict between their employment (if any) and their serving as officer of IEEE Toronto.
A copy of your responses will be emailed to the address you provided.
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