2013 Elections: RHC Representative Nomination Form

Part I: Position for which the candidate is nominated

Please indicate the ONE position for which the candidate is being nominated.

Constituency groups listed are those for which there are open positions in the 2013 elections.

Question Title

* 1. Rural Health Congress Representative (please check one)

Hospitals (7 seats open)

Rural Health Clinic (1 seat open)

Statewide Health Resources (1 seat open)

Students (3 seats open)