Nomination Form | Vice President

Please submit your completed application in a sealed envelope to the FHSSC Office (HSB 8) by 4.00 pm on Thursday, March 15th, 2012. Name: Position: Student Number: Email Address: Phone Number: Program: Year: Candidate Eligibility Candidates must be registered as a full or part time undergraduate student in the Faculty of Health Science at the University of Western Ontario for the 2012-2013 academic year. Individuals running for a position on the Faculty of Health Sciences Students Council cannot serve on a program council (Nursing, Kinesiology or Health Studies Students Council). Nominations Three nominations from students enrolled in the Faculty of Health Science are required for candidacy. Name Student Number Signature

I, _____________________________, verify that the above signatures represent students within the Faculty of Health Science. I will be present at the election meeting on Thursday, March 15th, 2012 at 7.15 pm in HSB Rm. 236.

Signature: _________________________________

Date: ________________

Please direct any questions and concerns to president@fhssc.com. Faculty of Health Sciences Students Council Western University, London, Ontario, Canada, N6A 5B9 Arthur and Sonia Labatt Health Sciences Building, Rm. 8 www.fhssc.com | @fhssc

Supplementary Questions
Please restrict each response to 250 words. 1. Why did you apply for this position? 2. What do you hope to accomplish in your role? 3. Please list any skills and/or experiences you possess that you feel would make you an asset to the 2012-2013 FHSSC? 4. Please describe one challenge you have had in the past when working with others and how you overcame it. What did you learn from this experience and how will you apply this knowledge to your position on Council? 5. What initiative would you like to see Council fulfill next year? 6. List any other commitments or extracurricular activities you will be involved with next year.

Faculty of Health Sciences Students Council Western University, London, Ontario, Canada, N6A 5B9 Arthur and Sonia Labatt Health Sciences Building, Rm. 8 www.fhssc.com | @fhssc