2022-2023 ACM National Board Nomination Form
Please complete this form by June 30, 2022 to nominate a fellow ACM member for an At-Large seat on the Alliance for Community Media National Board. ACM is seeking nominations for two (2) At-Large seats on the National Board.
Name of ACM Member making the nomination
*
First Name
Last Name
Nominee's Name
*
First Name
Last Name
Nominee's Organization (if any)
If nominating yourself, did you attend the ACM Leadership Webinars?
Yes
No
Nominee's Email
*
example@example.com
Nominee's Phone Number
*
Please enter a valid phone number.
Nominee's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: