Mortar Board National Council Nomination Form
Deadline: March 15

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Nominations are now being considered for National Council positions that will be up for election at the 2012 Mortar Board National Conference.  You may nominate yourself or others for these positions.  Upon receiving the nominations, the Nominations Committee chair will certify the nominee’s willingness to be a candidate.  According to the Bylaws, candidates can be listed for more than one position on the ballot.  Each candidate will be notified of their nomination and will be requested to complete an information sheet and submit a photograph to be included with the pre-conference materials sent to the delegates.  Candidates can be nominated after March 15 and at the conference, but their materials will not be available for publication prior to the conference.

Please nominate one candidate at a time using the form below.  If you are submitting multiple nominations, you are only required to include your name and e-mail address on any nominations submitted after your initial nomination.

Positions up for election at the 2012 conference include: student representative

You may choose to print a copy of this form for your records. If you are experiencing any problems with this online form, please contact the Web master directly at mbforum@mortarboard.org or 800-989-2666 ext. 106. If you would prefer to nominate using a Microsoft Word nomination form, you may do so here.

 
Nominee information
First name:
Last name:
Address:
 
Address2:
 
City:
State:
ZIP:
Primary email address:
 
Secondary email address (if known):
 
Phone number:
 
For which position would you like to nominate this candidate?
President-elect
Vice President
Secretary/Treasurer
Alumni Representative
Student Representative
 
Nominator information
First Name:
Last Name:
Address:
 
Address2:
 
City:
State:
ZIP:
E-mail address:
 
Phone number:
 
Would you be interested in running for the National Council in the future? Yes No
If so, which position would you be interested in?