Académique Documents
Professionnel Documents
Culture Documents
Company/organisation name
Proposer’s membership no
Job title
Proposer’s signature
Address
SECONDER’S NAME
Seconder’s membership no
Postcode
Seconder’s signature
Tel
STATEMENT
E-mail
Please provide a statement of not more than 150 words
and written in the third person for inclusion in the
candidates’ details document that will be distributed with
the ballot papers.
Select the member network you wish to stand for
election to (see full list on the reverse):
PHOTOGRAPH
Please submit a recent head and shoulders photograph
Sector specific network
of yourself for inclusion on the candidates’ details
document that will be distributed with the ballot papers.
Regional network
DECLARATION, CANDIDATE’S SIGNATURE AND
DATE
I wish to stand for election to the panel indicated. To the
best of my knowledge and belief, I am eligible to stand.
You may choose to stand for election to a single network,
or to both a sector specific and regional network if you
Candidate’s signature
wish.
Date
Scotland
Aberdeen
Edinburgh and East of Scotland
Glasgow and West of Scotland
Tayside and North Fife
Wales
North Wales
South Wales
Swansea and West Wales