2019 WLN Call for Nominations
WLN BIOGRAPHICAL INFORMATION ON PROSPECTIVE CANDIDATE
Email address *
Name of Office Interested In *
Required
Name and Credentials *
*as it should appear on ballot
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Work Phone *
Your answer
Home/ Cell Phone *
Your answer
Preferred Email Address *
Your answer
Position Title *
Your answer
Past Employment
Your answer
WLN or NLN Offices Held or Committees Served
Your answer
Organization Affiliations *
Your answer
Statement of reason wishing to serve in this office *
Your answer
Statement of Commitment *
A copy of your responses will be emailed to the address you provided.
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