APTA Michigan 2024 Elections Nominations Form
Nominations close for 2024 Slate on April 30th; Elections to be held starting in June – The following will start their terms of office January 1, 2025 (all 2-year terms)
Please complete one form for each position the person is being nominated for. Individuals interested in running for an officer or director position may also run for a delegate position.
Nominee Name
*
First Name
Last Name
Degree/ Credentials
Nominee Email
*
example@example.com
Nominee Phone Number
*
Please enter a valid phone number.
Nomination of the Office of:
*
President
Vice President
Speaker of the Membership
Director of Professional Development
Director of Payment
Director of Communications
PTA Council Representative
Northern District Chair
Western District Chair
Delegate (4 to be elected)
Nominating Committee Member
Eastern District Vice-Chair
Upper Peninsula District Vice-Chair
Name of Nominator
*
First Name
Last Name
Email of Nominator
*
example@example.com
Have you confirmed that nominee is a current member of APTA Michigan
*
Yes
No
Short Bio of Nominee (for those self-nominating)
0/250
Candidate Statement (for those self-nominating)
Headshot of Nominee (for those self-nominating)
Submit
Should be Empty: