Nomination Form for Doctors of BC's 2024 Elections

Nomination Form for Doctors of BC's 2024 Elections
This is your opportunity to stand for election for the positions of President-Elect and Elected Delegates on the Representative Assembly (RA) - positions nominated and elected by the membership.

It is also your opportunity to stand for election for the Board of Directors, Audit and Finance Committee, Governance Committee, and Nominating Committee – positions nominated by the membership and elected by the RA.

Please note that completed nomination forms must be submitted by the candidate before 11:59pm on Monday, October 21, 2024.

All candidates and nominators must be members in good standing in a category eligible to hold office and vote. Ordinary Members are eligible for all positions; Professionally Inactive Members are eligible for Committee positions only.

If you have any questions or run into any technical difficulties, please contact voting@doctorsofbc.ca or Katie Karn, Director of Governance, at kkarn@doctorsofbc.ca.
** Please ensure all fields of the Nomination Form are completed to avoid any delay in the review/acceptance of the nomination **

Click here to submit a nomination for a position elected by the MEMBERSHIP...
Candidate's Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Demographic Information
Enter Specialty or Practice Focus (if any)
Please select which position(s) you are running for:

President-ElectFamily Physician - District 6 (South of the Fraser)Family Physician - District 8 (East/West Kootenays)Specialist - District 9 (Skeena)Specialist - provides services in a rural community within the scope of the Rural Subsidiary agreementFamily Physician - provides services to First Nations Health Authority or in other Indigenous health contextsSpecialist - provides services to First Nations Health Authority or in other Indigenous health contexts
Nominators' Information
I, Candidate First Name Candidate Last Name Doctors of BC ID, confirm that I have secured the nomination of the following TWO nominators:
Nominator #1 First Name Nominator #1 Last Name, Nominator #1 Doctors of BC ID, a Doctors of BC member in good standing.
Nominator #2 First Name Nominator #2 Last Name, Nominator #2 Doctors of BC ID, a Doctors of BC member in good standing.

Click here to submit a nomination for a position elected by the REPRESENTATIVE ASSEMBLY...
Candidate's Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Demographic Information
Enter Specialty or Practice Focus (if any)
Please select which position(s) you are running for:

Board Director at LargeAudit & Finance Committee Member at LargeGovernance Committee Member at LargeNominating Committee Member at Large
Nominators' Information
I, Candidate First Name Candidate Last Name Doctors of BC ID, confirm that I have secured the nomination of the following TWO nominators:
Nominator #1 First Name Nominator #1 Last Name, Nominator #1 Doctors of BC ID, a Doctors of BC member in good standing.
Nominator #2 First Name Nominator #2 Last Name, Nominator #2 Doctors of BC ID, a Doctors of BC member in good standing.

Candidate's Information