Nomination form students
Election of student members for the Faculty Board of the Faculty of Science of Utrecht University 2022-2023.
Name candidate:
E-mail:
Phone:
Signature:
Number of candidates on the list:
District:
‘student overall’ or name of the department Listname: (max. 40 signs)
The candidate mentioned below declares with his/her signature:
1. that he/she is aware that he/she is on the list of candidates,
2. that he/she approves to be candidate on the list, and also approves about the ranking in the list;
3. that he/she notes that this declaration of approval cannot be withdrawn till the moment that the election result has become inviolable or in case of objection and/or appeal after the pronouncement on this objection and/or appeal.
Family Name Given Name Initials Student number
UU E-mail Signature Remarks
1.
2.
3.
4.
5.
If there are more than 5 candidates, please enclose a separate list with clear mention of the name of the list and the regarding department.
Fill in this form clear and complete, with the signature of the candidates.
Lists of candidates can only be submitted electronically to the election committee between March 8
thand April 14th, 2022.
E-mail: Science.kiescommissie@uu.nl.
If the list already exists it is only necessary to fill in this page.
If the list is new or not being elected before, it has to be supported by at least twenty supporting voters of the regarding section with their signature. A voter can undersign only one list of candidates. Furthermore, it is not allowed to undersign a list of candidates by a candidate who is part of this list.
The undersigned declare that they support this list of candidates named: ………..
Familyname Initials Studentnumber Signature
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Privacy statement: To execute your candidacy or support we need to have your personal data, such as familyname, solis-id. Because you can only nominate as a candidate or support another candidate when you are a voter yourself, your solis-id is registered in the election system with your faculty/department. We keep this information in our election system no longer than three months after the period for appeal following on the election result. After these three months the personal information will be removed from the system. The personal information will only be used for this election.