2010-11 SPS Council Nominations

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2010-11 SPS Council Nomination Form

Candidate Information
Position:
Candidate Name:
Zone:
Chapter Name:
Current Address:
City:
State:
Zip Code:
Tel:
Fax:
E-mail:
Name of the nominator: (Self-nominations are perfectly acceptable)

Name of the nominator's institution:

Has the nominee indicated his or her willingness to serve?
Yes No
Summer Contact Information
Summer Address:
City:
State:
Zip Code:
Tel:
Fax:
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.
A copy of this nomination form will be sent to the SPS National Office and your Zone Councilor. Thank you!