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2013-2014 SPS Council Nomination Form
Self-nominations are perfectly acceptible

*Fields in red are required. Please add sps@aip.org to your email address book and/or approved contacts list or your confirmation email may get caught in your spam filter.

Candidate Information
Position:	Associate Zone Councilor Zone Councilor Society of Physics Students President
Candidate Name:
Zone:	Zone-1 Zone-2 Zone-3 Zone-4 Zone-5 Zone-6 Zone-7 Zone-8 Zone-9 Zone-10 Zone-11 Zone-12 Zone-13 Zone-14 Zone-15 Zone-16 Zone-17 Zone-18
Chapter Name:
Current Address:
City:
State:
Zip Code:
Tel:
Fax:
Candidate E-mail:
Nominator Information
Name of the nominator: (Self-nominations are perfectly acceptable)
Name of the nominator's institution:
Nominator's Email Address
Has the nominee indicated his or her willingness to serve?
Yes   No
Candidate Summer Contact Information
Summer Address:
City:
State:
Zip Code:
Tel:
Fax:
Candidate Biographical Information
1. In the space below, give biographical information about the candidate. This information will accompany the ballot if your nominee becomes a candidate.
Candidate's Statement
2. In the space below, have the candidate provide a brief statement concerning his or her plans if elected. This information will accompany the ballot if your nominee becomes a candidate.
Copies of this nomination form will be sent to the candidate, the nominator, the SPS National Office, and your Zone Councilor. Thank you! Enter web form code