Oncology Registrars Association of New Jersey

 

Candidate Petition

Complete either sections A and C; or section B and C

ORANJ Candidate Petition

Contact Information

Submitter's Name
Submitter's Name
First Name
Last Name

Section A

I am interested in serving ORANJ as an officer as:

Section B

Candidate Name
Candidate Name
First Name
Last Name
I have contacted this person and he/she has indicated a willingness to serve as:

Section C

Candidate Consent

Committees

If you are unable to serve as an officer, are you willing to serve on a committee?