APAOG Board of Directors and Committee Chair Nominations
Information on all available board positions can be found on the APAOG website: https://apaog.org/NominationsandElections/.
Nominee Information
Name
*
First Name
Last Name
Email
*
example@example.com
Credentials
Organization
*
Primary practice
Professional Title
*
Board Position (check all that apply)
*
President
Treasurer
Director at Large
Non-PA Board Member
Nominated by
Self-Nomination
I am self-nominating (If checked, please skip to the next section)
Full name
Organization
Email
example@example.com
Nomination Statement
Statement: Please submit a short statement of support for the nominee, or if this is a self-nomination then please submit a candidate statement.
*
Submit
Should be Empty: