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DeOA Officer and Trustee Nomination
All nominees must be current DeOA Members in good standing. All positions are for a two year term. Membership will receive notification of all qualified applicants via email no less than 30 days prior to the DeOA Annual Meeting, to be held Saturday, February 9, 2019 at the Winter Thaw Conference.
Email address *
Name *
Your answer
Name of Nominee (You may nominate yourself ) *
Your answer
Is Nominee a DeOA Member in Good Standing?
Professional Credentials of Nominee
Your answer
Years in Practice of Nominee
Current Practice Address of Nominee
Your answer
Business Phone of Nominee
Your answer
Personal / Cell Phone of Nominee
Your answer
Is the Nominee a Past President of DeOA? (only applicable for Trustee position)
Nominating for Which Position? *
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