SHPE Elections Nomination Petition
For more info and to confirm your eligibility, visit shpe.org/about-shpe/governance/elections/ or email elections@shpe.org.
Nominee Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
SHPE Member ID
*
https://www.shpeconnect.org/
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Being Pursued:
*
National Board - Professional
National Board - Graduate Student
National Board - Undergrad Student
Regional Vice President 2
Regional Vice President 4
Regional Vice President 6
Regional Graduate Representative 1
Regional Graduate Representative 2
Regional Graduate Representative 3
Regional Graduate Representative 4
Regional Graduate Representative 5
Regional Graduate Representative 6
Regional Graduate Representative 7
Regional Student Representative 1
Regional Student Representative 2
Regional Student Representative 3
Regional Student Representative 4
Regional Student Representative 5
Regional Student Representative 6
Regional Student Representative 7
300 Word Bio
*
High Resolution Professional Headshot
*
Browse Files
Drag and drop files here
Choose a file
Does not need to be done by a professional photographer but needs to be a headshot portraying you in a professional manner
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of
Candidate Acknowledgement Agreement (signed)
*
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Drag and drop files here
Choose a file
Form can be found here: https://shpe.org/wp-content/uploads/2022/07/SHPE-Elections_CandidateAcknowledgementAgreement_2022.pdf
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of
STUDENTS: Upload Your Transcript
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Drag and drop files here
Choose a file
(Unofficial Will be Accepted)
Cancel
of
Signature
*
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As part of the nomination petition, you must secure at least five (5) sponsors with current membership and from the same member category as your position and provide their names, contact information, SHPE ID number, Region, and Chapter – signatures are not required.
Sponsor 1 Name
*
First Name
Last Name
Sponsor 1 Membership ID
*
Sponsor 1 Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 1 Home Chapter
*
Name of Chapter or "Region (x) Member at Large"
Sponsor 1 Email Address
*
example@example.com
Sponsor 1 Phone Number
*
Please enter a valid phone number.
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Sponsor 2 Name
*
First Name
Last Name
Sponsor 2 Membership ID
*
Sponsor 2 Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 2 Home Chapter
*
Name of Chapter or "Region (x) Member at Large"
Sponsor 2 Email Address
*
example@example.com
Sponsor 2 Phone Number
*
Please enter a valid phone number.
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Sponsor 3 Name
*
First Name
Last Name
Sponsor 3 Membership ID
*
Sponsor 3 Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 3 Home Chapter
*
Sponsor 3 Email
*
example@example.com
Sponsor 3 Phone Number
*
Please enter a valid phone number.
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Sponsor 4 Name
*
First Name
Last Name
Sponsor 4 Membership ID
*
Sponsor 4 Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 4 Home Chapter
*
Sponsor 4 Email Address
*
example@example.com
Sponsor 4 Phone Number
*
Please enter a valid phone number.
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Sponsor 5 Name
*
First Name
Last Name
Sponsor 5 Membership ID
*
Sponsor 5 Region
*
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 5 Home Chapter
*
Sponsor 5 Email Address
*
example@example.com
Sponsor 5 Phone Number
*
Please enter a valid phone number.
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Next
Sponsor 6 Name
First Name
Last Name
Sponsor 6 Membership ID
Sponsor 6 Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Sponsor 6 Home Chapter
Sponsor 6 Email Address
example@example.com
Sponsor 6 Phone Number
Please enter a valid phone number.
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Next
Sponsor 7 Name
First Name
Last Name
Sponsor 7 Member ID
Sponsor 7 Home Chapter
Sponsor 7 Email Address
example@example.com
Sponsor 7 Phone Number
Please enter a valid phone number.
Submit
Should be Empty: