National Member Representative to Board of Directors Nomination Form

Nominee's Contact Information

National VOAD is now accepting nominations for 4 vacant National Member seats on the Board of Directors (including one seat with 1 year left on its term). If you wish to nominate yourself or another individual, please fill out the National Nomination Form below. All nominations must include two letters of recommendation from a National VOAD Member Representative (National, Associate, or State/Territory VOAD), including at least one from a National Member and must be current (dated: 2024).

Please note, incomplete applications will not be considered by the Nominations Committee

Any further questions may be directed to National VOAD Board Member and Chair of the Nominations Committee, Jim Kirk at James.Kirk@pcusa.org.

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* 1. Name:

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* 2. Organization:

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* 3. Phone:

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* 4. Phone (Alternate):

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* 5. E-mail:

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* 6. Years Served as Member Representative: