Board Nomination Form -

Board Nomination Form

Nominations are open until all positions are filled.

To the following address:

Nipawin & District Chamber of Commerce

Box 177 Nipawin, SK, S0E 1E0, 214 Railway Ave East

Email: nipawin.chamber@sasktel.net

Board Nomination Form

Name(Required)

Business Name

Current Position(Required)

Business Address(Required)

Box number, street address

Email(Required)

Phone(Required)

Nominated By(Required)

We ask that you ask one or two business people from the community that are members to nominate you to the Chamber Board.

NOMINEES ACCEPTANCE I do hereby agree to have my name stand as a nominee for the position of Director, Nipawin & District Chamber of Commerce and as a successful candidate agree to support and participate in the programs and activities of the Chamber. TO NOMINEE: The nomination form of the Nipawin & District Chamber of Commerce Board of Directors will contain a profile of each nominee. Please provide the pertinent information as requested:

Q1: A brief statement of your interests, intentions and reason why you wish to act as a Director of the Nipawin & District Chamber of Commerce:

Q2: A brief outline of your involvement with the Chamber, your background pertaining to organizational skills, committee/volunteer work and related endeavors:

Signature of Nominee:

Date: