Nominations/Elections

Name of Applicant*

Current Job Title*

E-mail*

Position Applying for:*

Nominated By:*

Bio to be published in FCTM's Additional Dimensions Newsletter (Include current employment details)*

200 word maximum please.

Confirmation of Service*

I nominate the following FCTM member for the indicated office. The individual is willing to serve FCTM in this capacity, accepts the voluntary service commitment, and has the support of family and their employer for fulfilling the commitment. To the best of my knowledge, I confirm that the nominee is a current member of FCTM.