Executive Committee Nominations 2021

Executive Committee call for nominations

I wish to apply for the following position * I wish to apply for the following position

Title 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) *

Maximum upload size: 52.43MB

Please give the names of the two ARTERY members supporting your application *

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

Maximum upload size: 52.43MB

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

Maximum upload size: 52.43MB