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NOMINATION FORM IN ENGLISH
FORMULAIRE D'APPLICATION EN FRANCAIS
Please read Guidelines and Procedures for Election of Directors for CQHA Board of Directors on CQHA Website before completing this application form.
APPLICATION INSTRUCTIONS:
- Must be received in the AQHA office on/before October 23, 2020.
- Type or print in blue or black ink, or complete electronically using Microsoft Word; may not be altered or amended; and must be four (4) pages only.
- Utilize the space(s) provided; additional attachments will not be provided to the Nominations Committee.
- Submit a photo with your application; photo will not be returned.
- Letters of recommendation should be sent directly toCQHA from the providing referee, individual, etc. and received prior to November 1, to be provided to the Nominations Committee CQHA.
- Unless otherwise indicated by applicant, application is submitted for Elected Director position created by a vacancy or new opening per Director allocation.
Any questions regarding the eligibility or requirements for becoming an CQHA Director should be directed to Dr Wayne Burwash Chair Nominations Committee:
PHONE:
EMAIL:
PHONE:
EMAIL:
