SFURA
N
NOMINATION FORM
For ELECTION TO THE EXECUTIVE BOARD BY AND FROM SFURA MEMBERS
For use by a NOMINATOR
It is not necessary, nor generally expected that both sides of this sheet will be completed. A
nominator completes a Nomination Form SFURA N and can submit it. A candidate completes an
Acceptance Form SFURA A and can submit it. The forms each can be submitted separately with
the information to be collated at SFURA from the various forms returned.
To: NOMINATING COMMITTEE SFURA
Please print or type
I, the undersigned, a Member of SFURA, nominate the Member(s) shown below as candidates(s)
for election, by and from SFURA Members, to the Executive Board of the Simon Fraser University
Retirees Association (SFURA) for a term of office from the date of election Tuesday, May 5, 2015
to the date of the next Annual General Meeting in 2016 to be held April, May or June as the Board
determines.
___________________________________________
_____________________________
My Surname
Given Name(s) or Initial(s)
Telephone number (____)_____________________
(day)
Signature ___________________________________
(____)_______________________
(evening)
Date _________________________
NOTE – As a nominator you are expected to ensure, before making a nomination that the Member
is prepared to be a candidate if SFURA receives sufficient nominations for that Member. You may
nominate one Member, or up to six, as candidate(s) for election. Do not nominate more than six.
MEMBER(S) NOW NOMINATED BY ME
Surname
Given Name(s) or Initial(s)
This form, whether emailed as a scanned signed copy, delivered or by regular mail, must be
received at the SFURA office not later than:
2:00 PM Tuesday APRIL 14, 2015
Address to: SFURA, attention Jean Trask, Secretary,
C/O Lorne Davies Complex 200
Simon Fraser University,
8888 University Drive
Burnaby, BC, V5A 1S6
(Page 1)
SFURA A
CANDIDATE ACCEPTANCE FORM
For ELECTION TO THE EXECUTIVE BOARD BY AND FROM SFURA MEMBERS
It is not necessary or generally expected, that both sides of this sheet will be completed. A
candidate completes an Acceptance Form SFURA A and can submit it. A nominator completes a
Nomination Form N and can submit it. The forms each can be submitted separately with the
information to be collated at SFURA from the various forms returned.
To: NOMINATING COMMITTEE SFURA
Please print or type
As I am aware I am being nominated, then on the condition that SFURA receives from Members
the required number of Nomination Forms SFURA N nominating me – I hereby accept nomination
as a candidate for election to be a member of the Executive Board of the Simon Fraser University
Retirees Association (SFURA) for term of office from the date of election Thursday May 5, 2015 to
the date of the next Annual General Meeting 2016 to be held in April, or May or June as the Board
determines.
___________________________________________
Surname
_________________________________
Given Name(s) or Initial(s)
Telephone number (____)______________________
(day)
(____)____________________________
(evening)
Signature ___________________________________
Date ____________________________
Please attach brief curriculum vitae so voters will have some knowledge of you. Include your
name in full, surname first, and add any other points you may consider of interest to the electorate.
You are permitted to include along with or in lieu of curriculum vitae, a statement not to exceed 250
words on your views on matters you perceive rightfully to be of interest to SFURA members. All of
this information is to be limited to one page of single spaced copy (8.5 x 11 inches maximum)
________________________________________________________________________________________________________________
This form, and any curriculum vitae statement you are providing, whether emailed as a scanned
signed copy, delivered or by regular mail, must be received at the SFURA office not later than:
2:00 PM Tuesday, April 14, 2015
Address to: SFURA, attention Jean Trask, Secretary,
C/O Lorne Davies Complex 200
Simon Fraser University,
8888 University Drive
Burnaby, BC, V5A 1S6
(Page 2)