2016 Nominations Form

OFFICER AND DIRECTOR POSITIONS - 2016 PCMA NORTHERN CALIFORNIA CHAPTER BOARD OF DIRECTORS

If you are nominating another individual, please complete your and their contact information below and include a brief statement as to why you are nominating them for the specific officer or director position, and why they would be qualified and an asset to the chapter. When your nomination form is received, the nominee will be contacted and asked to fill out an application. Please let your nominee know that you are nominating him/her.

Question Title

* 1. Nominee Summary

Your Name

Your Email and Phone

Nominee's Name

Nominee's Organization

Nominee's Telephone

Nominee's E-Mail

Position Nominated For

Question Title

* 1. Nominee Summary

Question Title

* 2. Please include your reasoning for nominating this individual.