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 CSHP-AB BRANCH DELEGATE NOMINATION FORM 2015-18
The Alberta Branch of the Canadian Society of Hospital Pharmacists (CSHP-AB) is now accepting
nominations and/or applications for Branch Delegate. The following is a brief description of the
position. The nomination form is included on the next page.
Branch Delegate: Executive Council position. Three-year term. The Branch Delegate represents
the Branch by keeping both the Branch Council and National Board informed on respective views,
coordinates committee and special activities as determined by Branch Council or the Board, and
acts as the Branch representative to CSHP National. The Delegate participates in all Branch
Executive and National Board teleconference meetings on a monthly basis and attends all Board
meetings of CSHP National (two annually) including the Midterm Board Meeting held in
February/March in Ottawa and meetings prior to the AGM currently held in association with the
Summer Educational Sessions (in Ottawa in 2015). It is strongly suggested nominees have
experience in Branch affairs, be fully conversant with the operation of the Branch, and preferably
have served on one or more of the Branch Committees or Executive.
The deadline for nomination forms is May 29, 2015.
Please submit your completed form by email to:
Dr. Arden Barry
Past President (Vision Portfolio), CSHP Alberta Branch
Email: [email protected] or [email protected]
You will receive receipt of your nomination within 72 hours.
If you would like to learn more about the Alberta Branch Council and/or the various positions, or
have questions about the nomination process, please feel free to contact me directly.
Thank you and I look forward to your participation.
Arden Barry, BSc, BSc(Pharm), PharmD, ACPR
Chairperson, Nominations Committee
Past President (Vision Portfolio)
CSHP Alberta Branch
Canadian Society of Hospital Pharmacists Alberta Branch
www.cshp-ab.ca
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NOMINATION FORM FOR BRANCH DELEGATE 2015-18
I, ___________________________________ (name) submit my name for the position of Branch
Delegate on the Canadian Society of Hospital Pharmacists Alberta Branch (CSHP-AB) Council and
am willing to accept all the responsibilities it involves.
________________________________________
Signature
___________________________________________________________________
Address, City, Province, Postal Code
___________________
CSHP Number
We,
the
undersigned,
active
members
of
CSHP-AB,
hereby
nominate:
________________________________________ (name)
1. _________________________
_________________________
_____________
Name of First Nominator
Signature
CSHP Number
2. _________________________
_________________________
_____________
Name of Second Nominator
Signature
CSHP Number
I, ___________________________________ (signature) accept the nomination for the CSHP-AB
Council and all the responsibilities it involves.
Canadian Society of Hospital Pharmacists Alberta Branch
www.cshp-ab.ca
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