Copy of 2017 HEEF Nomination Form

NOMINATOR INFORMATION

Thank you so much for nominating an interested candidate for Board membership. Your successful candidate will enable us to accomplish so much this year. To enable the Nominating Committee to move forward with your recommendation, please provide information about you and the person you are nominating.

The information below is about YOU. This information is required so that we may follow-up with you should we have questions or require additional information. Once you complete this form, click the “Next” button at the bottom of the page for questions about the person you are nominating.

Question Title

* 1. Your information:

Name: First and Last

Preferred telephone number

Preferred email address

Question Title

* 2. Are you: (check all that apply)

Hopi Tribal Member

HEEF Member

non-HEEF Member

Other (please specify)

Question Title

* 3. As a Hopi tribal member and/or non-HEEF Board member, I would like to be considered for self-nomination

Yes