Nominee Form

Nominee Form

Candidates of the Southwestern Chapter, SNMMI
Thank you for your willingness to serve the Southwestern Chapter, SNMMI.

Please complete the fields below and upload your completed Nominee Word form (sent via Email) and headshot in the designated sections no later than February 26, 2026.

Kindly review your materials for accuracy and completeness before submitting.
Name

First NameLast Name
Email
example@example.com
Nominee Word Form*

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As a reminder, please upload a photo of yourself that meets the following specifications:

1. 72 dpi resolution
2. Minimum 300 pixels (width) × 375 pixels (height)
3. Head and shoulders framing
4. Professional appearance (smiling preferred)
5. Plain background; avoid shadows or busy backgrounds
Headshot*

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Should be Empty: