QUALIFICATIONS: Please complete the following sections beginning with the most recent office working back.
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
There will be no campaigning for votes when a candidate seeks election to the California USBC Board of Directors. Additionally, any violation of the California USBC policy regarding campaigning for election may subject the nominee to disqualification as a candidate.
I hereby consent to have my name placed in nomination for the office indicated below.