WLU Executive Board Nomination Form

Submit this form for each candidate you are nominating for the 2019 WLU election by January 15, 2019.

Question Title

* 1. Nomination for the office of (check one):

Board Member

President-Elect

Board Member: Serves a term for three years representing the general membership on the WLU Executive Board and help determine and implement WLU initiatives.

President-Elect: Serves one year, becomes President for two years, and then becomes Past President for one year on the WLU Executive Board.

Please provide the following information to ensure that all potential candidates are evaluated on the same criteria. Note: All nominations are treated as confidential.

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* 2. Nominee Information

First Name:

Last Name:

Institution:

City:

State:

Email:

Phone:

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* 3. Main Level of Current Professional Work:

elementary

middle

secondary

two-year college

college

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* 4. Years in Profession:

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* 5. Race/Ethnicity (optional):

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* 6. Nominee's Service to WLU/NCTE:

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* 7. Comments in support of nomination:

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* 8. Nominator Information (optional):

First Name:

Last Name:

Email:

Phone: