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Candidates for Executive Council

Submission deadline is Friday, October 20, 2017 COB
Complete and submit online, or scan and email to:

Mike Johnson
Nominations & Elections Committee Chair
Phone: 503-725-5442
Email: gmj2@pdx.edu

Nominees will be required to send demographic information, a candidate's statement
and a photo for the web by November 7, 2017 to gmj2@pdx.edu

Candidate Nomination
Nominee's Name
Nominee's Institution
Street Address
City
State
Zip
Phone
Fax
Email
Optional Questions
Nominee's Gender
Ethnic Origin
Nominate this person for one of the offices below.
(from any WASFAA state)
      President-Elect
      Vice President
      Secretary
      Treasurer-Elect
      Representative-at-Large for Ethnic Diversity
              (also chairs the Ethnic Diversity Action Committee)

     Does this person know his/her name is being submitted?
Yes   No
     Has this person's institution agreed to let him/her run?
Yes   No

Why do you believe this person would be
a good candidate for this position?
Include everything you believe is important
for the committee to know.


Nominated By
Institution





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