2021 PPSIG Director Elections Candidate Application
Have you nominated yourself or nominated a colleague?
If not, please do so before completing this form. Each candidate application must be backed up by a nomination, whether it is as self-nomination or you have been nominated by a colleague. Please Submit Nomination Form.
Please, take a moment to fill out the applicatiton below. In order to prepare a final slate for presentation to the Academy membership, please indicate your willingness to serve in this office if elected by the Academy membership. If you accept your nomination, you will be taken to the next steps in the nomination/election process. If you do not accept your nomination, please indicate accordingly in this application.
For inquiries, please contact our office at email@example.com.
For the latest election updates and position descriptions, please visit www.aptapelvichealth.org/special-election.