APTA Michigan 2025 Elections Nominations Form
Nominations close for 2025 Slate on April 30th; Elections to be held starting in June – The following will start their terms of office January 1, 2026
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.
Format: (000) 000-0000.
Nomination of the Office of (Two-Year Terms Unless Noted):
*
Secretary
Treasurer
Chief Delegate
Director of Legislative Affairs
Director of Membership and Academic Engagement
Eastern District Chair
Upper Peninsula District Chair
Delegate (3 to be elected)
Northern District Vice-Chair
Western District Vice-Chair
Nominating Committee Member (Three Year Term)
APTA Michigan Institute for Education and Research Trustee (Three Year Term)
Conference Chair (Appointed to Two Year Term)
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: