Call for Nominations for Officers of the Board of Governors and Board of Directors

Nomination (submitted by nominator)

Submitter Name

Submitter Email Address

Candidate Name

Candidate Email Address

Position

Select

Candidate Information (submitted by nominee)

Candidate Profile URL

Candidate Bio

A statement by the candidate indicating a willingness to serve the Society and attend meetings as required by our bylaws, if elected.

(This should be submitted by the candidate)

Select

A declaration of the candidate’s affiliation with any organization that might represent a potential conflict with the aims and objectives of the Society as a not-for-profit professional society as outlined in the bylaws.

(This should be submitted by the candidate)

If you have any attachments to back the data entered please upload

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse