CWA LOCAL 1000

2015 NOMINATION FORM REVISED 10-3-14

FOR LOCAL OFFICERS, CHIEF STEWARDS AND STEWARDS TO TAKE OFFICE EFFECTIVE JANUARY 1, 2015
FAX OR SCAN AND EMAIL FORM AS FOLLOWS:
TO:

Tammy Ferro, Election Chair, CWA Local 1000

FAX:

1-609-278-6589

EMAIL:

t_ferro13@comcast.net

SUBJECT:

Nomination for CWA Local 1000 Officers, Chief Stewards and Stewards

DATE:

__________________________________________

PLEASE COMPLETE THE FOLLOWING:

INFORMATION REGARDING PERSON BEING NOMINATED (*NOTE: Members can Self Nominate)
NAME: __________________________________________________________________________________________________
EMPLOYER: ______________________________________________________________________________________________
ORGANIZATION/LOB: ______________________________________________________________________________________
OFFICE LOCATION: ________________________________________________________________________________________
JOB TITLE: _______________________________________________________________________________________________
POSITION BEING NOMINATED FOR: __________________________________________________________________________
TELEPHONE NUMBER TO CALL: ____________________ BEST TIME TO CALL: ________________________________________
CELL PHONE NUMBER TO TEXT (OPTIONAL): ___________________________________________________________________

INFORMATION REGARDING PERSON SUBMITTING THE NOMINATION (*NOTE: If Self Nomination Just Provide Name)
NAME: _________________________________________________________________________________________________
EMPLOYER: _____________________________________________________________________________________________
ORGANIZATION/LOB: _____________________________________________________________________________________
OFFICE LOCATION: _______________________________________________________________________________________
JOB TITLE: ______________________________________________________________________________________________
TELEPHONE NUMBER TO CALL: ____________________ BEST TIME TO CALL: _______________________________________
CELL PHONE NUMBER TO TEXT (OPTIONAL): __________________________________________________________________