CPSA Council Nomination Endorsement Form

A colleague has asked you to endorse their nomination for election to CPSA Council.

As a regulated member in good standing with CPSA, you may endorse the nomination of an individual for election to CPSA Council. By filling out the form below and submitting it to us, you are confirming your endorsement.

Important! Your endorsement must be submitted to us by Sept. 25 at 11:59 pm.

Information about the candidate you are endorsing

This section is about the individual who asked you to endorse their nomination for election to CPSA Council. Complete this section with the information contained in the email requesting your endorsement. This is the email that also has the link to this form.
Candidate's name(Required)
Candidate's email(Required)

About you

Provide information about you as the person endorsing the above individual's nomination for election to CPSA Council.
Name(Required)
Email(Required)
Address(Required)
Are you in good standing with CPSA?(Required)
Do you endorse this candidate to be nominated for election to CPSA Council?(Required)

Signature

Checking this box will act as your signature.(Required)
MM slash DD slash YYYY

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