Manitoba Cycling Association Inc

BOARD OF DIRECTORS NOMINATION FORM

2027–2028 | Manitoba Cycling Association

Deadline November 20,2026

Please complete this form and submit it with a brief summary of the nominee’s qualifications and experience. The nominee and nominator must both be aware of and agree to the nomination.

The Nominee will be notified by phone

Nominator information*

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First name *

Last name *

Email *

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Nominee information

First name *

Last name *

Email *

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Board position sought * Board position sought

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Attach a brief statement outlining the nominee’s relevant skills, experience, community involvement and reasons for wishing to serve on the MCA Board. Include how they could contribute to MCA’s work and governance.

Confirmation and consent: *

(Select all that apply)

The nominee confirms they are an MCA member in good standing. The nominee agrees to be nominated for the position identified above. The nominator confirms they have discussed this nomination with the nominee.

Electronic signature

Nominator signature

The nominee, nominator or a designated representative will have an opportunity to speak in support of the candidacy at the Annual General Meeting election.

Note: This form retains the requirements in the original nomination notice. Eligibility and election procedures remain subject to MCA bylaws and applicable policies.