Nomination Form

Nomination Form (Election of Executives and Officers - 2018-2019)

* Indicates required field

Name *

First

Last

Email *

Name of Nominee (if you are nominating other than yourself) *

First

Last

Email of Nominee (if you are nominating other than yourself) *

Position *

Why are you interested? *

If you are nominating someone for a position other than yourself, the current PAC Chair will reach out to the nominee directly to receive their consent to the nomination

Submit