Nomination Form for New Board Directors

Required Support Material

A resume or letter from the Nominee outlining the nominee’s skills and experience in relation to the responsibilities of the Board of Directors.
A letter of support from the Nominator outlining why the nominee is a strong candidate for the Board of Directors.

Nominations should be addressed to the Nominations Committee Chair, care of ANSM, 1113 Marginal Road, Halifax NS, B3H 4P7. Or sent via email to director@ansm.ns.ca. Interested to learn more about the roles and responsibilities of ANSM’s Board of Directors? Please contact director@ansm.ns.ca.

Board of Directors Nomination Form

Nominee Info

Name of Nominee

First Last

Organization

Position

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Nominator Info

Name of Nominator