NASW AZ Chapter Leadership Nomination

Know a coworker, colleague or friend who would be an excellent leader? Want to nominate them? Fill out the information below and we'll be in touch with them.

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* 1. Your Name:

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* 2. Your Email:

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* 3. Your Phone Number:

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* 4. Your Address:

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* 5. If you are nominating someone, what is their name (First and Last)?

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* 6. Nominee's Phone Number:

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* 7. Nominee's Email:

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* 8. Nominee's Address

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* 9. NASW Membership Number. Note only NASW members are eligible for board leadership positions:

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* 10. Which Branch Representative position is the nominee running?

Branch 1 Representative (Phoenix/Yuma Area)

Branch 2 Representative (Tucson)

Branch 3 Representative (Flagstaff Area)

Branch 4 Representative (Prescott)

Board President Elect Position (Note, this person MUST currently already be on the NASW board)

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* 11. Which position are you interested in?

MSW Student Representative

BSW Student Representative

NASW AZ Chapter Leadership Nomination

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* 1. Your Name:

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* 2. Your Email:

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* 3. Your Phone Number:

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* 4. Your Address:

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* 5. If you are nominating someone, what is their name (First and Last)?

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* 6. Nominee's Phone Number:

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* 7. Nominee's Email:

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* 8. Nominee's Address

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* 9. NASW Membership Number. Note only NASW members are eligible for board leadership positions:

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* 10. Which Branch Representative position is the nominee running?

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* 11. Which position are you interested in?

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* 12. Position Statement. Why do you think you would be a good candidate?