Forms are due December 1, 2023 at 5:00 p.m.

2024 Board Nomination Form

Name(Required)

Preferred Mailing Address

Your Address(Required)
Assistant/Administrator Name
Are you being appointed by your jurisdiction?(Required)
Max. file size: 1 MB.
Do you wish to be considered for an officer position?
Officer position desired:
If the jurisdiction you represent is on the executive committee (jurisdictions on the executive committee are listed below in the dropdown menu), you are permitted to designate an alternate who can vote on your behalf at Executive Committee meetings only. Select your jurisdiction if applicable:
Alternate Name
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