TIAC 2025 Board of Directors Nomination Submission Form

Please select one of the following*

If you are nominating someone else, you must provide details of the person you are nominating (as Nominee), your own details (as Primary Nominator) as well as the details of the Secondary Nominator.


If you are nominating yourself, you must provide your details (as Nominee) and those of your Primary Nominator and Secondary Nominator.

This may self-populate with your membership information. Please ensure you update this section to properly show the Nominee name. Be sure to double check this section before you hit your final submit button.

To find the TIAC Member Number, please login to the TIAC Member account. The member number is at the top of the screen below the banner and the Welcome.

Phone
Nominee Main Address: Province, Territory or Other*
Drag and drop files here or

Nominee's Questionnaire Section

If you are Nominating yourself, please fill out. If you are Nominating someone else, please have your Nominee work with you to complete the next four questions


This name must be different than the Nominee.

To find the TIAC Member Number, please login to the TIAC Member account. The member number is at the top of the screen below the banner and the Welcome.

Phone
Primary Nominator: Province/Territory or Other

This name must be different than the Nominee and the Primary Nominator.

To find your TIAC Member Number, please login to the TIAC Member account. The member number is at the top pf the screen below the banner and the Welcome.

Phone
Secondary: Province, Territory or Other

Please click all that apply to have the best scheduling opportunity.


NOTE: We will do our best to match, but we may open up additional slots and times depending on the responses we receive.


Please take a moment to review your application and ensure the Nominee Name is correct (in case of auto-population write-overs).


The Nominee and Primary Nominator and Secondary Nominator must all be different people. It cannot be the same person in any category.


By clicking here you are verifying all of the information provided is true and accurate.