Nominate 2017-2018 Board of Directors

Please enter in a candidate name. Fill in a name for one position or several.  Please fill in the contact information, email, and phone number below.

* 1. I am a current Member of LPCA

* 2. President Elect

* 3. Secretary

* 4. Treasurer

* 5. Atlanta District Representative

* 6. Central District Representative

* 7. Coastal District Representative

* 8. Eastern District Representative

* 9. Northern District Representative

* 10. Southern District Representative

* 11. Western District Representative

* 12. Continuing Education Chair

* 13. Ethics Chair

* 14. Government Relations Chair

* 15. Membership Chair

* 16. Newsletter Editor Chair

* 17. Professional Development Chair

* 18. Public Relations Chair

* 19. Student Relations Chair (must be in school)

* 20. Supervisor Relations (Clinical Superivisors) Chair

* 21. I want to volunteer

* 22. So I can volunteer, here is my email and phone

* 23. If we have questions, may we contact you?

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