Board Candidate Application
Please complete the information below.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
District#
*
2
3
4
Please describe your background and community involvement.
*
Upload your resume
*
Browse Files
Cancel
of
*
By submitting my name to the nominating committee comprised of three Northeastern members, I am requesting to be a candidate in the election taking place September 9, 2024.
I understand I will be required to take part in an online director candidate orientation training program, that should take between two and four hours to complete, prior to May 3, 2024.
Your signature:
*
Submit
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