ECTS Board of Directors Nomination Form

Step 1: Read the Terms of Reference and Member Role Description to review the process and criteria for nominations
Step 2: Download the Declaration of Intent Form which should be completed, signed and submitted together with the online application form
Step 3: Submit the below Nomination Form

ECTS Board Nomination Form

Please note that it is the responsibility of the proposer to consult the nominee as to whether he or she is willing to stand for election. Each nomination should be submitted online together with the nominee photo and declaration of intent. These should be uploaded into this online form.

Proposers Contact Details
Proposer 1 Name*
First Last
Proposer 1 Email Address*
Membership Number
Seconder Name*
First Last
Seconder Email Address*
Membership Number
Nominee Information
Nominee Contact Information*
First Last
Email*
Place of Work*
City and Country*
City Country
Membership Number
Expertise*
- Clinical
- Non-Clinical
Position Interest*
- President -Elect
- Secretarty
- Treasusrer
- Education Committee Chair
- Communication Committee Chair
- No preferences
Please indicate if the nominee has an interest in one or more of the above positions
Statement from nominee on what skills and experience they can offer ECTS*
Short profile of nominee*
Upload photo of nominee*
Max. file size: 256 MB.
Upload declaration of intent*
Max. file size: 256 MB.

ECTS Board of Directors Nomination Form

ECTS Board Nomination Form

Proposers Contact Details

Nominee Information