2019 VAANP Board of Directors Nomination Form

Thank you in advance for completing this Board of Directors nomination form. All questions are required for the submission to be complete, and this form must be submitted by December 7, 2019, at midnight.

All responses that you submit will be included on the board election ballot.

If you have any questions about this form, please contact us at info@vaanp.org.

Question Title

* 1. Enter the contact information for this nominee, if known

Name

Company/Clinic, if any

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Professional credentials (i.e. ND, NMD, MD, LAc:)

Question Title

* 3. Number of Years as an ND

Question Title

* 4. Areas of Interest for Board Service (check all that apply to you)

Education

Financial

IT/Social Media

Legislative

Marketing & Membership

Governance

Other (please specify)

Question Title

* 5. What expertise can you bring to the VAANP Board?

Question Title

* 6. Have you ever volunteered for the VAANP?

Yes

If so, what did you do?

2019 VAANP Board of Directors Nomination Form

Question Title

* 1. Enter the contact information for this nominee, if known

Question Title

* 2. Professional credentials (i.e. ND, NMD, MD, LAc:)

Question Title

* 3. Number of Years as an ND

Question Title

* 4. Areas of Interest for Board Service (check all that apply to you)

Question Title

* 5. What expertise can you bring to the VAANP Board?

Question Title

* 6. Have you ever volunteered for the VAANP?

Question Title

* 7. What do you believe are the most significant issues facing the VAANP today? If elected to the Board, how would you hope to address these issues?

Question Title

* 8. Please list other Boards of Directors on which you sit and any companies in the Naturopathic industry with which you are affiliated.