Executive Committee Nominations 2019

Executive Committee call for nominations

I wish to apply for the following position Treasurer

Title Professor Associate Professor Dr Mr Mrs Miss Other Title

Forename

Surname

Date of birth

Gender

Male

Female

Job Title

Organisation

Adddress 1

Address 2

Address 3

Address 4

City

Postcode

Country

Phone Number

Email Address

Please provide a statement (no more than 250 words) clearly stating why you wish to stand for the Executive Committee

Please upload a photograph of yourself (head and shoulders)

Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB

Please give the names of the three ARTERY members supporting your application

Please upload your first statement of support (no more than 250 words)

Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB

Please upload your second statement of support (no more than 250 words)

Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB

Please upload your third statement of support (no more than 250 words)

Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB