Ontario Association for Impact Assessment  

c/o Sue Ruggero, 87 Irondale Drive, 2nd Floor, Toronto, ON M9L 2S6  
E-mail: info@oaia.on.ca   Website: www.oaia.on.ca 
  

    Board of Directors - Nomination Form 2005
  Candidate  
  Name
  Position
  Mailing Address
  Phone number  (Include area code)
  Fax  (Include area code)
  Email
  I accept my nomination for the position of
President-Elect   President  Director at large
and accept to maintain my membership to:  OAIA   IAIA for the duration of my tenure.

I have read and commit to carrying out the duties that would be expected of me as an OAIA Officer for the duration of my tenure.

Signature
     
  Candidate Profile The candidate must include a short profile (100-150 words) outlining his or her current position, current and past experience in impact assessment, objectives as an OAIA Officer, and any past involvement in OAIA, AQEI, IAIA or other organization related to impact assessment.
  Profile included
   
 

Nominated By *

  
  Name
  Position
  Mailing Address
  Phone number  (Include area code)
  Fax  (Include area code)
  Email
    * the person making the nomination must be a current member of OAIA
     
  Supported By *  
  Name
  Position
  Mailing Address
  Phone number  (Include area code)
  Fax  (Include area code)
  Email
    * the person making the nomination must be a current member of OAIA