N O M I N A T I O N F O R M PLEASE RETURN COMPLETED FORM BY January 16, 2009 TO: Jim Wang, Secretary, PEO Scatborough Chapter "Jim Wang" I, __________________________ agree to stand as a candidate for election as _________________, and not to withdraw my candidacy except under exceptional circumstances. If elected, I agree to serve the 2009 term on the Scarborough Chapter Board? I am a member of PEO of good standing and eligible to be in the chapter board as per the bylaw. Signature: Date: PLEASE PRINT OR TYPE NAME:______________________________ TELEPHONE: BUS: _____________________________ HOME: _____________________________ E-MAIL: BUSINESS:_____________________________ HOME: _____________________________ Nominated by: (At least three licensed members) NAME LICENSE # NOTE: This as per bylaw approved in 2007. Relevant extract: A candidate for Chair should have served on the Chapter Executive for at least two years; one of which should be as Vice-Chair. A candidate for Vice-Chair, Secretary or Treasurer should have served on the Chapter Executive for at least one year.