Nomination Form

INSTRUCTIONS FOR ELECTION COMMITTEE:

BELOW IS THE LINK YOUR CAN PROVIDE TO CANDIDATES. IT WILL AUTO COMPLETE CANDIDATE INFORATION ON THE NOMINATION FORM. SIMPLY REPLACE THE OFFICE, NAME, AND EMAIL OF THE CANIDATE. THE OFFICE MUST BE SPELLED EXACTLY AS IT IS ON THE NOMINATION FORM DROP DOWN:

https://www.acmea.org/elections-nomination/?runningFor=Vice%20President&candidateName=Angela%20Ball&candidatesEmail=ArthurL52@aol.com

To the Election Committee of ACMEA:

I, the undersigned voter, request the candidate’s name be placed on the ballot for the office indicated.

Date*

MonthDayYear

Copy of date for Election cycle:*

Candidate Name*

Candidate's Email*

example@example.com

Election Cycle:*

Running for*

To ensure that our elections have integrity and that you are a due-paying member, we will use the information below and match to your ACMEA record.

Your First Name*

Your Last Name*

Your Agency Name*

Your Job Title*

Bargaining Unit*

Employee ID#*

Home Address*

Street

City*

State*

ZIP Code*

Personal Cell Phone*

Area Code and Number

Personal Email Address*

example@example.com

PDF Name*

Employer and Bargaining Unit

Name Printed 2

Time*

Hour Minutes

AM/PM Option

Name Printed

Calculation

File Name

Signature (use your PC mouse or finger to sign)*

Signature

Time*

Hour Minutes

AM/PM Option

New Nomination Form

Date*

MonthDayYear

Hour MinutesAM/PM Option

date final

Date

JitBit Email*

Location Information

Security Info*