PDAC Board Candidate Application Form

Nominations open September 15, 2026 and close November 15, 2026

First Name

Last Name

Membership Number

Telephone #

Address

City

Postal/Zip Code

Province

Country

Profession

Employer

Job Title

Duration of PDAC Membership

Current and Former PDAC Board and Committee Involvement

Please include dates

Other Mining Industry Membership and Involvement

Please include dates

Mining Industry Experience

Volunteer Leadership – Other

Enter any other volunteer leadership experience that you might have

Brief Biography

200 words allowed

Election Statement

Please explain why you would like to become a director and/or how you will enhance the association through board membership

150 words allowed

My nomination is being supported by the following PDAC members in good standing:

1. Name

Membership Number

2. Name

Membership Number

3. Name

Membership Number

4. Name

Membership Number

5. Name

Membership Number

6. Name

Membership Number

7. Name

Membership Number

8. Name

Membership Number

9. Name

Membership Number

10. Name

Membership Number

I have satisfied the following qualifications:

18 years of age or older;

Not have been declared incapable by a court in Canada or another country;

Not have the status of bankrupt;

Current member in good standing;

Have been a Member in good standing for a minimum of five (5) consecutive years or served for a minimum of three (3) consecutive years on a PDAC Committee.

Consent

By checking this box, I consent to serve as a director of the PDAC Board of Directors if elected.

By checking this box, I consent to the use of electronic signatures. I acknowledge that my electronic signature is binding and has the same effect as my handwritten signature.

Signed

Note: Details submitted on this form may be shared with the broader Membership if an election occurs.

PDAC Board Candidate Application Form

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