Chair-elect nomination form 2023 | Society for Reproduction and Fertility

CALL FOR NOMINATIONS TO CHAIR-ELECT 2023

Please make sure that you have your letters of support in PDF format ready to upload as it is not possible to save and return to this form.

Call for Nominations for SRF Chair-elect 2023

Title

First Name

Last Name

Institution

Email Address

Phone Number - please do not put any spaces

Please confirm that you are an SRF member and have paid your membership fee for 2023 *

Yes

Please provide current and/or previous SRF roles, including years and positions held and experience.

Please provide a short statement giving other relevant experience.

Please provide a short statement (200 – 250 words) giving details of your goals and aspirations for your time as Chair.

Please provide your first statement of support from an SRF member who has agreed to support your nomination - as a PDF *

Required upload size: 52.43MB

Please provide your second statement of support from an SRF member who has agreed to support your nomination - as a PDF *

Required upload size: 52.43MB

Please provide a photo of yourself (head and shoulders) to be used for election purposes *

Required upload size: 52.43MB

I am willing to stand for election to the Chair elect on the Council of the Society for Reproduction and Fertility to serve from May 2023 as Chair elect and take responsibility as Chair from January 2024 for 3 years. I understand that, if elected, I will waive any rights to apply for awards or grants, under the current constitution.

I agree