Nomination Form

Nomination Form

Nominate Leadership

Name of Nominee

First Name

Last Name

Email of Nominee

Nominee Phone

Nominee Street Address

City

Zip

Religious-Spiritual-Secular identity of nominee

Check the position for which you are nominating this cadidate:

Chair

Vice-Chair

TreasurerTreasurer

SecretarySecretary

Faith representativeFaith representative

At-large board memberAt-large board member

OtherOther

Tell us about why you consider this nominee to be a good candidate?

Is your nominee willing to be contacted by a member of the nominating committee?

Yes

Other (please explain below)

My Name

First Name

Last Name

My Email

My Phone

If you are human, leave this field blank.

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