ANA-NY Nomination Form
Nominations close on Friday, May 3, 2024.
I wish to nominate (and/or) be nominated for the Office of:
*
First Name
Last Name
Position
*
Please Select
President
Treasurer
Director-at-Large (2 spots)
Nominations & Elections Committee Member (3 spots)
Credentials
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Nominator Email
*
example@example.com
Nominee Email
*
Present Employment/Position
*
ANA-NY Service:
*
Experience serving on a board
*
Position Statement: (100 words or less & may upload separately below)
*
0/100
Position Statement upload attachment
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Consent to serve
*
Yes
Submit
Should be Empty: