BOR 2023 Alumni Election Nomination Form

Thank you for your interest in the 2023 Board of Regents Alumni Election. Please complete the following form to nominate yourself or another alumni to run for one of the 6 alumni seats on Memorial University's Board of Regents. Memorial University is committed to equity, diversity and inclusion. We encourage nominations from all qualified alumni including women, people of any sexual orientation, gender identity or expression, Indigenous peoples, visible minorities and racialized people, and people with disabilities. Nominations run from May 29 to June 26, 2023.

Before proceeding forward, please review the Board of Regents Alumni Election Guidelines to ensure you or the person you are nominating is eligible. The nomination form collects the following information:
1. Personal Information – includes address, contact details, degree information and current occupation specifics of the nominee;
2. Nominee Biographical/Campaign Statement (250 words or less) – to be posted online and should provide voters an overview of who the nominee is, why they are interested in being a Regent and the value/experience they would bring to the board; and
3. Nominee High-resolution Photograph (JPEG) – to be posted online along side the nominee’s Biographical/Campaign Statement.
Other items submitted (e.g. CVs, resumes, articles, etc...) will not be utilized in the process.

Questions regarding the nomination form or the election in general can be sent to munalum@mun.ca. You can also view the Office of Alumni Engagement's privacy statement here.

Again, thank you for your interest in the 2023 Board of Regents Alumni Election.

Please confirm whether this is a self-nomination or if you are nominating another person:*

SelfAnother Individual

Nominator's Information
Nominator - Name*

First NameLast Name
Nominator - Address*

Street Address

Street Address Line 2

Town/CityProvince/State

Postal/Zip CodeCountry
Nominator - Phone Number*

Area CodePhone Number
Nominator - Email*
example@example.com
Nominator - Relationship to Nominee*

Nominee's Information
Nominee - Name*

First NameLast Name
Nominee - Address*

Street Address

Street Address Line 2

Town/CityProvince/State

Postal/Zip CodeCountry
Nominee - Phone Number*

Area CodePhone Number
Nominee - Email*
example@example.com
Nominee - Current Position/Occupation*
If retired, say 'Retired'.
Nominee - Business Address

Street Address

Street Address Line 2

Town/CityProvince/State

Postal/Zip CodeCountry
Nominee - Business Phone Number

Area CodePhone Number
Nominee - Business Email
example@example.com

Has the NOMINEE consented to the submission of this application? (As part of the vetting process, the NOMINEE's consent will be verified.)*

YESNO

Nomination Package
Biographical/Campaign Statement Upload
Please upload ( MS Word or PDF format) a 250 word max Biographical/Campaign Statement of the NOMINEE. The statement should provide voters an overview of who the nominee is, why they are interested in being a Regent and the value/experience they would bring to the board. This will be posted online for voters to review as a part of the voting process. Please note that if the submitted statement is longer than 250 words, it will be edited by removing the copy that exceeds the 250 word mark. Any other documents uploaded here (i.e. resumes, CVs, articles, etc.) will not be utilized in the process.
Statement Upload*

Cancelof
High Resolution Photograph Upload
Please upload (JPEG format) a high resolution photograph of the NOMINEE. This photograph will be posted online along with the Biographical/Campaign Statement.
Photo Upload*

Cancelof

By checking the box below, I hereby confirm to the best of my knowledge that the provided information enclosed/attached in this online nomination form is true and accurate.*

I agree
Should be Empty:

Nominator's Information

Nominee's Information

Nomination Package