Illinois USA Gymnastics State Committee Nomination Form
The following positions are up for re-election:

J.O. Chairman
Level 9 & 10 Chairman
Level 6 & 7 Chairman
Level 3 Chairman
Xcel Bronze & Silver Division Chairman
Safety Chairman

Please submit your nominations by April 19th 2019

All resumes must be emailed to Norbert Bendixen by April 20th 2019. Please email them to norbertil@aol.com.

Email address *
Your Name *
Your answer
USAG Number *
Your answer
Your Phone Number *
Your answer
Nominee's Name *
Your answer
Nominee's Phone Number *
Your answer
Position Nominated For *
I have contacted the above named individual and have his/her permission to nominate him/her for the position stated above *
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