ࡱ> _ Kbjbj;`;` fY 7\Y 7\C%n n $   PZvd R" NRPRPRPRPRPRPRT{W~PR " PReR''' jNR' NR''MO@1y T!.N":R{R0RPNW"WDOWO8 ' PRPR$ R W n > : 51 ELECTIONS 2016 Checklist for nominees Before submitting this form please check that you have: Signed the form at the end of section 1 on page 3Signed your consent against the position for which you are standing on page 4 If you are standing for a UK-elected position, signed against any relevant categories on page 5Signed the declaration on page 6 that you are in employment that qualifies you for membership of 51, and included evidence of this employment, normally in the form of a payslip (see section 7).Included the support required for your nomination (see section 6). Every signature sheet must include at the top your name and the name of the position to which you are standing.   51 ELECTIONS 2016 NATIONAL OFFICER AND MEMBERS OF THE NATIONAL EXECUTIVE COMMITTEE - NOMINATION FORM The calling notice for these elections, 51s election rules and related information can be found on 51s website at  HYPERLINK "http://www.ucu.org.uk/elections" www.ucu.org.uk/elections. Nominees attention is drawn to the guidance notes that form section 10 of this nomination form. Nomination is open to those in membership of the union on 2 October 2015. Prospective candidates and their nominators can ask the union to confirm their joining date and current membership status by contacting Kay Metcalfe, email  HYPERLINK "mailto:kmetcalfe@ucu.org.uk" kmetcalfe@ucu.org.uk, telephone 020 7756 2551. Completed nomination forms (including all support required for nominations) must be received by 5:00pm on Thursday 12 November 2015. Nominations should be formally addressed to the President and marked for the attention of Kay Metcalfe, Administrator, Constitution and Committees, 51, Carlow Street, London NW1 7LH. Nominations may also be submitted by email (attaching signed, scanned sheets) or fax, provided that they are followed up with paper copies. Email nominations should be sent to kmetcalfe@ucu.org.uk. Fax nominations should be faxed to 020 7756 2501. Receipt of all nominations will be acknowledged. If you do not receive acknowledgement, please telephone Kay Metcalfe on 020 7756 2551 before the deadline. 51 cannot accept responsibility for nominations not received due to a failure of electronic communication. Candidates are urged not to leave the submission of nominations to the last minute. 1 Nominees details Name (as you wish it to appear on election material including title if you wish):  51 membership number:  Branch or local association:  Contact address (for correspondence in relation to this nomination):  Email address:  Telephone number:  Gender:  Sector: I am a member in the higher/further education sector (delete as appropriate)  Geographical constituency (see note, below): I am a member in the following geographical constituency:  Signed:  Date: Note: Geographical constituencies for NEC elections are defined in 51s rules as institutions based in the following geographical areas: Scotland* Northern Ireland Wales and within England, defined by Regional Development Agencies (RDAs) as at 1 June 2006: the North West (North West RDA)*; the North East (North East and Yorkshire and the Humber RDA); the Midlands (East Midlands and West Midlands RDAs)*; London and the East (London and Eastern RDAs); the South (South East and South West RDAs)*. *there is no call for geographically-elected NEC members in these areas in this year 2 Position to which nomination is sought Please sign next to the position to which you are being nominated. You should sign against one position only. I consent to my nomination to the following position: Signature (against ONE position only) Vice President from the FE sector  Geographically-elected NEC member  UK-elected member of the NEC  Representative of women members, and I confirm that I am a woman Representative of black members (who is a woman), and I confirm that I am a black member (casual vacancy)  Representative of members in land-based education*, and I confirm that I am employed, or have been most recently employed, in land-based education in my main employment (casual vacancy) *Note: Land-based education is understood as that which takes place in relation to the following land-based areas, involving the use of physical land-based resources: agriculture crops and livestock, animal care, aquaculture, environmental conservation, equine, farriery, fencing, floristry, game and wildlife management, landscape, land-based engineering, production horticulture, professions allied to veterinary trade, trees and timber. 3 Further information UK-elected NEC member nominees If you are standing for nomination as a UK-elected member of the National Executive Committee, please indicate if any of the following statements apply. Completing this part of the form ensures that you comply with paragraph 5b of schedule A to the unions rules, which requires you to state if you fall into particular categories listed in the unions rules. For nominees from the higher education sector: (in accordance with 18.8.2i-18.8.2iii of the rules)Please sign against ALL that applyI am employed, or have been most recently employed, in a pre-1992 institution. I am employed, or have been most recently employed, in a post-1992 institution. I am employed, or have been most recently employed, in an academic-related role. For nominees from the further education sector: (in accordance with 18.8.5i-18.8.5ii of the rules)Please sign against ALL that apply:I am employed, or have been most recently employed, in adult continuing or community-based education*. I am employed, or have been most recently employed in, prison education.  *Note: Adult continuing and community-based education refers to community education provided directly by local authorities rather than through further education colleges. If you are unsure about these categories please contact the office for further information. 4 Declaration qualifying employment At the time of nomination, candidates must be in qualifying employment, or if not in employment, have been in qualifying employment within the preceding 12 months. Candidates must provide, as part of their nomination, evidence of their qualifying employment, normally in the form of a copy of a payslip for work carried out within the preceding 12 months, or, in the case of a member who is self-employed, evidence of payment for work carried out within the preceding 12 months. Declaration I confirm that I am in employment that qualifies me for membership of 51 (as defined in 51 rule 3.1.1), or if not currently employed, have been in qualifying employment within the preceding 12 months. Signed:.. 5 Equality monitoring information 51 believes strongly in equality. Please answer the questions below. This information will remain confidential to 51. It will be used to monitor membership involvement and will not be reproduced in any material relating to these elections. 5.1 What is your ethnic origin? White: British  MACROBUTTON CheckIt ( Irish  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify: Black or British Black: African  MACROBUTTON CheckIt ( Caribbean  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify: Asian or British Asian: Bangladeshi  MACROBUTTON CheckIt ( Indian  MACROBUTTON CheckIt ( Pakistani  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify: Chinese or other ethnic group: Chinese  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify: Mixed: White & Asian  MACROBUTTON CheckIt ( White & Black African  MACROBUTTON CheckIt ( White & Black Caribbean  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify 5.2 What is your religion? None  MACROBUTTON CheckIt ( Christian  MACROBUTTON CheckIt ( Buddhist  MACROBUTTON CheckIt ( Hindu  MACROBUTTON CheckIt ( Jewish  MACROBUTTON CheckIt ( Muslim  MACROBUTTON CheckIt ( Sikh  MACROBUTTON CheckIt ( Other  MACROBUTTON CheckIt ( please specify: 5.3 Do you consider yourself a disabled person? Yes  MACROBUTTON CheckIt ( No  MACROBUTTON CheckIt ( 5.4 What is your sexual orientation? Lesbian or gay  MACROBUTTON CheckIt ( bisexual  MACROBUTTON CheckIt ( heterosexual  MACROBUTTON CheckIt ( 5.5 Is your gender identity the same as the one you were assigned at birth? Yes  MACROBUTTON CheckIt ( No MACROBUTTON CheckIt ( 5.6 Which age group do you belong to? 20-30  MACROBUTTON CheckIt ( 31-40  MACROBUTTON CheckIt ( 41-50  MACROBUTTON CheckIt ( 51-60  MACROBUTTON CheckIt ( over 60  MACROBUTTON CheckIt ( 6 Support for nomination 6.1 Nominations to the position of Vice President from the further education sector must be supported by either: the identifiable signatures of twenty members of the association who are entitled to vote in any ballot held to fill that position, not more than ten of whom may be from the same branch/local association, or a statement signed by the Presiding Officer or Honorary Secretary of a branch/local association that the nomination has been adopted by a resolution at a quorate general meeting of that branch/local association. All members (other than student members) are entitled to vote in ballots to elect Officers, and may sign in support of a candidates nomination. 6.2 Nominations for all other National Executive Committee positions (geographically-elected NEC members, UK-elected NEC members, representatives of women members, representative of black members, representative of land-based members) must be supported by either: the identifiable signatures of ten members of the Union who are entitled to vote in any ballot held to fill that position, not more than five of whom may be from the same branch/local association, or a statement signed by the Presiding Officer or Honorary Secretary of a local association or branch that the nomination has been adopted by a resolution at a quorate general meeting of that branch/local association. All members (other than student members) are entitled to vote in ballots to elect candidates to the seats for representatives of women members, representative of black members and representative of land-based members and may sign in support of nominations to these seats. Nominations for members to UK-elected and geographically-elected members of the NEC must be supported by members in the appropriate sector and, if applicable, geographical constituency. 6.3 Forms for the collection of signatures are provided with this nomination. Please ensure that your name as nominee, and the position to which you are seeking nomination, are completed at the top of every sheet on which signatures are collected. Candidates making nominations to more than one position must submit a separate nomination form for each position, including, where support is by the collection of signatures, separate, appropriately headed signatures sheets for each nomination. 7 Support for nomination evidence of qualifying employment Nominees must provide evidence of their qualifying employment, normally in the form of a copy of a pay slip for work carried out within the preceding 12 months, or, in the case of a member who is self-employed, evidence of payment for work carried out within the preceding 12 months. This information is requested by the returning officer under schedule A to the rules, paragraphs 5e and 6e, and must be provided by the deadline for nominations. 8 Confirmation of membership standing of those supporting nominations All candidates who submit their completed nomination not less than ten working days before the closing date for nominations (that is, by 5:00pm on Thursday 29 October), shall be informed, not less than five working days before the closing date for nominations, whether there is any defect in their nomination, including any discrepancy in the membership standing of persons providing signatures in support of nomination. 9 Candidates election addresses All candidates will have the opportunity to provide an election address. Election addresses must conform to regulations approved by the National Executive Committee. These regulations can be found at  HYPERLINK "http://www.ucu.org.uk/elections" http://www.ucu.org.uk/elections and will be sent to all candidates who submit nominations. The deadline for the receipt of candidates election statements is 5:00pm on Wednesday 2 December 2015. Candidates election addresses will be made available on 51s website. 10 Guidance notes The NEC has approved the following guidance notes which all candidates are asked to abide by: OFFICER AND NEC ELECTIONS 2016 GUIDANCE NOTES 1 Candidates are asked to take note of the Unions wish that their campaign materials and comments, although vigorous and critical, will not be gratuitously offensive, abusive or defamatory, nor refer in a derogatory way to the race, religion, sexual orientation, age or other personal characteristic of candidates. 2 It is expected that particular care will be taken not to make any such remarks about members of 51 staff who may not be in a position to reply. 3 Candidates are encouraged to campaign through the positive promotion of their candidacy, rather than through negative campaigning about other candidates. 4 Points 1, 2 and 3 do not in any way infringe the right of a candidate to write an election address with the content they wish, recognising that all liability for ALL remarks in a candidates election address rests with the candidate and not the Union. 5 The Union will distribute election addresses of candidates as part of the ballot material for any ballots held. The Union will make available on its website the election addresses of candidates. 6 Other than the specific provision made in paragraph 5 above, candidates are not permitted the use of 51 funds or resources for the purposes of campaigning. Except as permitted by 51, use by candidates of sensitive personal data held by 51 or any of its officials and/or officers (elected or paid) is not permitted under any circumstances. Breach of either of these clauses by a candidate may result in exclusion from the ballot. 7 Email lists which are held by 51s head offices and regional offices are a resource of the union and cannot be used for campaigning by NEC candidates. Candidates must not approach 51 staff in relation to campaigning in NEC elections. Candidates should not use member email discussion lists administered by 51 (such as the activists list) for NEC election campaigning. Candidates may have in their possession email lists based on their personal contacts. Such email lists are a matter for the individual. 8 The use of email lists held by branches, for contacting all branch members, is a matter for branches. Use of them (or not) for election campaigning must be a decision of the branch, not of an individual who has access to such a list because of their role within the branch. A branch may wish to promote a particular candidate, and it can do so. However, the NEC recommends and encourages branches to circulate information about all candidates standing in any one election. This allows members, as voters, to make better informed decisions, and reduces the likelihood of complaints (whether justified or unjustified) or accusations of unfairness. The language of any communication should be measured. Any opinions expressed about candidates and their suitability for election should be fair and grounded in fact. Branches should note that they are liable for any defamatory statements made about candidates in their communications. Branches should deal with any emails relating to NEC elections in the usual way that they administer emails to members, and must not release contact details of members, including email lists, directly to candidates. 9 The principles of 7 and 8 apply equally to any circulations made in hard copy by the branch, such as local newsletters. 51 OFFICER AND NATIONAL EXECUTIVE COMMITTEE ELECTIONS 2016 The undersigned support the nomination of (name) to the position of (eg NEC FE North East or NEC HE UK-elected) FULL NAMEBRANCH/LOCAL ASSOCIATIONMEMBERSHIP NUMBERSIGNATUREDATE1234567891011 51 OFFICER AND NATIONAL EXECUTIVE COMMITTEE ELECTIONS 2016 The undersigned support the nomination of (name) to the position of (eg NEC FE North East or NEC HE UK-elected) FULL NAMEBRANCH/LOCAL ASSOCIATIONMEMBERSHIP NUMBERSIGNATUREDATE1234567891011 51 OFFICER AND NATIONAL EXECUTIVE COMMITTEE ELECTIONS 2016 The undersigned support the nomination of (name) to the position of (eg NEC FE North East or NEC HE UK-elected) FULL NAMEBRANCH/LOCAL ASSOCIATIONMEMBERSHIP NUMBERSIGNATUREDATE1234567891011     PAGE  PAGE 7 +,-dfjl , I J M m Ʒ~l~l]lMh-h&5OJQJmH sH h-hv~WOJQJmH sH "h-hN56OJQJmH sH h-hNOJQJmH sH hgWOJQJmH sH h-h&OJQJmH sH h-hOJQJmH sH hN56OJQJmH sH hv~W56OJQJmH sH hN5OJQJmH sH hIhN5OJQJmH sH hv~W5OJQJmH sH ,-efd8x$Ifgd- & Fd8$If^`gdgW d8xgdN $d8xa$gdv~W x\Nd8x$Ifgd- & Fd8$If^`gd-kd$$Ifl0M$7 t0644 lapyt-K L x\Nd8x$Ifgd- & Fd8$If^`gd-kd$$Ifl0M$7 t0644 lapyt-L M   x\Nd8x$Ifgd- & Fd8$If^`gd-kd4$$Ifl0M$7 t0644 lapyt-     / Q R S V ] k °vfvVDVv"h-hy5>*OJQJmH sH h-hy5OJQJmH sH h-hv~W5OJQJmH sH h-h&5OJQJmH sH h-h2OJQJmH sH h-h&OJQJmH sH hgOJQJmH sH "h-hN56OJQJmH sH h-hNOJQJmH sH h-hv~WOJQJmH sH h-h OJQJmH sH h-h 5OJQJmH sH   x\Nd8x$Ifgd- & Fd8$If^`gd-kd$$Ifl0M$7 t0644 lapyt- ˼veQB3hGB5CJOJQJmH sH h"H5CJOJQJmH sH 'h"Hh}v5CJOJQJaJmH sH !h>5CJOJQJaJmH sH !ht5CJOJQJaJmH sH !h"H5CJOJQJaJmH sH )jh}v5CJOJQJUmHnHuh}v5CJOJQJmH sH h f5CJOJQJmH sH  h}hNCJOJQJmH sH "h-hN56OJQJmH sH "h-h&56OJQJmH sH  xja\\\\\\$a$ gd;L d8x^gdNkdh$$Ifl0M$7 t0644 lapyt-  % ( 7 8 2 ? 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