2023 EAPA Board of Directors Nomination Form
Only one nomination per form submission, please.
Nominator Information
Your Name
*
First Name
Last Name
Your EAPA Member Number
*
Your Email Address
*
example@example.com
Your Phone Number
*
-
Area Code
Phone Number
Nominee Information
Nominee Name
*
First Name
Last Name
Nominee EAPA Member Number, if known
Nominee Email Address
*
example@example.com
Nominee Phone Number
*
-
Area Code
Phone Number
Position to which nominated (select one)
*
At Large Director (Labor Affiliation) - (Currently a member of a union or working in a labor program)
General At Large Director
Rationale for Nomination
*
Please provide your rationale for making this nomination (limit 500 words)
0/500
Submit
Should be Empty: