To place a name in nomination, please review the document Serving on the DignityUSA Board.
Any nominee for the Board of Directors must be a current Regular Member of DignityUSA.
Nominations must be submitted no later than April 15, 2026.

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* 1. Please enter your full name

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* 2. Please provide your street address

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* 3. What is your primary phone number?

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* 5. Are you over 18 years old?

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* 6. Are you a current member of DignityUSA?

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* 7. Photo

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