CIHRSM | Nomination Form

1

Nominator Information

Name of Organization *

Name of Nominator *

Phone Number of Nominator *

Signature

Date

2

Membership Category

Select Membership * Membership wording is based on the supplied CIHRSM nomination form.

3

Names of Nominees & Membership

The supplied paper form provides space for up to 6 nominees.

Return instructions: Please return this completed form to the Registrar. The supplied form also includes an office-use section for Received By, Status, Processed By, Date, Approved By and Signature.

Nomination Form

Chartered Institute of Human Resources & Strategic Management

CIHRSM Nomination Form

Nominator Information

Membership Category

Names of Nominees & Membership