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Nomination Form--SMEMSIC Board
Nomination Form--Director on the SMEMSIC Board
This form should be used to nominate someone, or yourself, to serve as a Director on the SMEMSIC Board of Directors. The submission deadline is January 5, 2018. Voting will be opened approximately six weeks prior to the Spring Conference. Those selected will be notified and installed on the Board at the Spring Conference, March 22-25, 2018 in Traverse City Michigan.
Choose the nominee's SMEMSIC Region
Nominee's Name (first, last, initial if you wish)
Nominee's email Address
Nominee's Street Address
Nominee's City, State, ZIP
Nominee's Board position of interest (more than one may be selected)
Region 1 Representative
Region 2 Representative
Region 3 Representative
Upper Peninsula Representative
What do you, or your nominee have to offer the SMEMSIC membership?
Please provide a short biography of the nominee to share with the voting membership:
Please forward a photo to
so that we may post it with your biography to remind voters who you are:
I acknowledge and will send an image of the nominee, jpeg or tiff preferred, to
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