Board Election Ballot Form
Please complete this ballot to cast your vote in the board election. Your responses are confidential and will be used solely for election purposes.
Voter Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Membership/Employee ID (if applicable)
Please confirm your eligibility to vote in this board election.
*
I confirm that I am eligible to vote in this election.
I am not eligible to vote.
President: Please select your preferred candidate.
*
Candidate A
Candidate B
Write-in Candidate (please specify below)
If you selected 'Write-in Candidate' for President, please specify the name here.
Vice President: Please select your preferred candidate.
*
Candidate C
Candidate D
Write-in Candidate (please specify below)
If you selected 'Write-in Candidate' for Vice President, please specify the name here.
Board Member (Select up to 2):
*
Candidate E
Candidate F
Candidate G
Write-in Candidate (please specify below)
If you selected 'Write-in Candidate' for Board Member, please specify the name(s) here.
Please rate the clarity of the election instructions.
1
2
3
4
5
Signature (required to validate your vote)
*
Submit Ballot
Submit Ballot
Should be Empty: