Board Nominations
Serve on the Board/Nominate a Colleague. WISCA has issued its annual call for nominations for positions on the WISCA Board of Directors. Positions commence on January 1, 202X. The full board meets four times a year in on-site, face-to face meetings and attends the Annual Clinical Forum. Each director serves a three year term.
Nominee Information
Name
*
First Name
Last Name
Email
*
example@example.com
Organization
*
Professional Title
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why would this Nominee make a good Board Candidate?
*
Nominator Information
Name
*
First Name
Last Name
Email
*
example@example.com
Surgery Center
*
Title
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: