2025 NASILC Call For Nominations
All fields marked with * are required and must be filled.
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Name of Nominee
*
First Name
Last Name
Email Address of Nominee
*
example@example.com
Phone Number of Nominee
*
Please enter a valid phone number.
This nomination is for which Board Position
*
Chair
Treasurer
Region 2 - Regional Representative or Alternate
Region 3 - Alternate Regional Representative
Region 4 - Regional Representative or Alternate
Region 6 - Regional Representative or Alternate
Region 8 - Regional Representative or Alternate
Region 9 - Alternate Regional Representative
Region 10 - Regional Representative or Alternate
Has the Nominee agreed to this Nomination?
*
Yes
No
Has the Nominee's member SILC agreed to support this Nominee's participation if elected?
*
Yes
No
Name of Member SILC's Representative Authorizing this Nomination
*
First Name
Last Name
Email Address of Member SILC's Representative Authorizing this Nomination
*
example@example.com
Phone Number of Member SILC's Representative Authorizing this Nomination
*
Please enter a valid phone number.
Candidate Statement
*
Please ensure the statement provided is approved by the nominee. This statement may be publicized in conjunction with the election process.
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