Academy Board Nomination
1. Nominee Contact Information
Name of Nominee:
First Name
Last Name
Professional Designation(s):
Job Title:
Employer:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
2. For which position is this person being nominated:
Treasurer
3. Why do you think this person meets the criteria for board service?
4. Your contact information:
Your name
First Name
Last Name
Your professional designation(s)
Your job title:
Your employer:
Your address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your phone number:
-
Area Code
Phone Number
Your email:
example@example.com
Submit
Should be Empty: