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Nomination Form

President Elect of Materials Chemistry Division

(Please use block capitals or type)

Note: All the information provided may be required for publication in a ballot paper, subject to editing by the Chief Executive.

We, the members of the Materials Chemistry Division who have signed overleaf, hereby nominate for the office of President Elect of Materials Chemistry Division, following the RSC Annual General Meeting in July 2017, to become President of Materials Chemistry Division from the RSC Annual General Meeting in July 2018:

Full name and title of nominee
Honours, degrees, etc
Occupation/position held
Declaration to be signed by nominee:
I have read the Guidance for candidates for President of Divisions and I hereby declare that I am willing to accept office, if elected at the next Annual General Meeting, and to make the necessary commitments as President Elect of Materials Chemistry Division.
Signature of nominee ………………………………………………………………..
Name:
Address:
Date: / Daytime Telephone:
E-mail:

Registered Charity No. 207890

President Elect of Materials Chemistry Division - Candidate information:

1.  All the information provided may be required for publication in a ballot paper, subject to editing by the Chief Executive. As a guide, the maximum space available to each candidate, in addition to name, title and position, is approximately 400 words/40 lines. Information should be not more than one page, Ariel 11 font, margins 2.4 cm.

2.  It is recommended that the information required on this page is sent by e-mail to

Candidate's statement: (please provide a statement illustrating your reasons for standing as a candidate) up to 250 words
Education and career: in order of past to current date
Date / Description
Contributions to RSC: in order of past to current date
Date / Description
Public appointments held: in order of past to current date
Date / Description

Registered Charity No. 207890

Signatures of members supporting the nomination of

(candidate’s name, please print) ………………………………………………………….

Note: As an alternative to signing this form, Materials Chemistry Division members may e-mail a message of support to stating the name of the candidate whom they are supporting and the vacancy for which the candidate is being nominated and giving their own full name and RSC membership number

Name in capital letters / Signature / RSC membership no.
1. 
2. 
3. 
4. 
5. 

Note: The following provisions are relevant to candidates and nominations:

Position / Period of service (years) / Eligible to be a candidate / Eligible to nominate / No. of signatories
President Elect of Education Division / 51 / All members of the Division2 / All members of the Division / 5

1The successful candidate for President Elect will serve 1 year as President Elect from the

AGM in July 2016, followed by 3 years as President and 1 year as Immediate Past President

2refer to General Principles for further information on terms of office

A completed signed copy of this nomination form is required to reach the RSC addressed to Hilary Beckett, Governance Co-ordinator, Royal Society of Chemistry, Burlington House, Piccadilly, London W1J 0BA or by email at by 6 March 2017

Registered Charity No. 207890