2014-2015 Nomination Form for D7 District Officers
Please use this form to nominate yourself or another member for a leadership role in District 7
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Nominator Contact Information
Please fill in your contact information so that we may contact you if we have any questions
Your name? *
Your Phone #? *
Your Email Address?
Is this nomination for yourself or another individual? *
If it is for yourself, you may skip the questions requesting "nominee contact information" listed below
Nominee Contact Information
Please fill in the contact information for the nominee.  If you are nominating yourself, you may skip the questions listed in this section.
Has the nominee been contacted and agreed to serve in this role?
If "no", then they will be contacted to confirm prior to their name being submitted for consideration by the Nominating Committee
Clear selection
Nominee Name
Nominee Phone
If known
Nominee Email
If known
Nominated Office
Please fill in this section to select the office the individual the individual is being nominated for.
Office *
Pick an office for the nominee
Required
If nomination is for Area or Division Governor
Please list an area or division for the nominee
Comments
Please enter any information that might help the nominating committee in their selection process
Thank You!
Thank you for taking the time to fill out this nomination form, and in participating in the process of helping us select our 2014-2015 District 7 Leadership Team!
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