The XXIX BPW International Congress
“Making a Difference through Leadership and Action”
Cairo, Egypt  23-27 October 2017
4: NOMINATION FOR INTERNATIONAL EXECUTIVE
This form should be completed for nominations for the following offices:
President
Vice President Membership
Vice President United Nations
Executive Secretary Executive Finance Officer Young BPW Representative
For nomination of Regional Coordinators to the Executive, please use separate form.
The Affiliate Federation / Club of __________________________________ nominates (candidate
name)_____________________for the position of BPW International ____________________________
Signature
Name
Affiliate President/Representative
Date
Affiliate President/Representative
TO BE COMPLETED BY CANDIDATE
Last name
First Name
Postal Address:
Telephone:
Fax:
E-mail:
Occupation:
Please pick one:
Active in occupation
Temporalily not occupied
Retired from occupation ______
BPW Offices held
Club
From
to
Federation
From
to
Region
From
to
BPW International
From
to
The XXIX BPW International Congress
“Making a Difference through Leadership and Action”
Cairo, Egypt  23-27 October 2017
Positions in other Voluntary Organisations (including years)
Related experience/qualifications (max. 500 words, s. document 3)
This form should be accompanied by your statement (max 500 words, s. document 3).
If elected to the BPW International office stated above, I consent to serve.
(Signature of Nominee)
(Date)
If the Candidate is nominated by another affiliate, this form must be signed by the Candidate’s own affiliate:
The Affiliate Federation / Club of ____________________ consents to its Member (name)
to be a candidate for the office of ____________________
Signature of Affiliate President
Name of Affiliate President
Date
Nominations must be received not later than midnight (Greenwich Mean Time) on 22 April 2017.
Please send nominations addressed to the Executive Secretary and President’s Office, to the
following email address: [email protected] .