Executive Nomination Form - 2024-2025 (Loyalist Township Minor Hockey)

Executive Nomination Form - 2024-2025

Please complete this form to nominate an individual for a position on the LTMHA Executive Board. You may nominate an individual for more than one position, but must be done via separate submission. A nominee can only be eligible to hold one position on the executive board. You can NOT self nominate. Please complete all required fields.

Nominee Information

Please complete the following information for the person you are nominating.

First Name^*

Required

Last Name^*

Required

Email address of Nominee^*

Required

Example: [email protected]

Does the nominee have/or will have a player playing in LTMHA for the upcoming season?^*

YesNo

Required

What position are you nominating the individual for?^*

Required

Does the nominee have previous experience on an executive board?^*

YesNo

Required

Does the nominee agree to being nominated? ^*

YesNo

Required

Applicant Information

Please complete the following information for verification and proof of nomination.

First Name^*

Required

Last Name^*

Required

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone Number^*

Required

Example: ###-###-####

I acknowledge that all the information contained in this submission to be true. I understand that any false information contained within, will void any and all possible application related to the above mentioned nominee.

I agree to the terms and conditions stated above^*

Executive Nomination Form - 2024-2025 (Loyalist Township Minor Hockey)

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Nominee Information

Applicant Information

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