NALBOH Board of Directors - Nominations Form
Name
First Name
Last Name
Credentials
Board of Health
City
State
Phone Number
Email
example@example.com
NALBOH Board Position of Interest
Please Select
President-Elect
Treasurer
Director at Large
Describe your experience, highlighting any NALBOH Leadership roles held.
This information will be shared with members, pending approval on the ballot.
Describe your interest in serving on the NALBOH Board of Directors.
This information will be shared with members, pending approval on the ballot.
Attachments - Letter of Reference (from Board Chair or Health Officer)
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of
Current Resume
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of
Submit
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