ODSA Officer Nomination Form
Please complete this nomination form and submit you letter of support by Friday, March 27, 2020.
Nominee: *
Office *
Mailing Address
Email Address
Work Phone *
Cell Phone
Does the nominee have the support of his/her Supervisor? (Please upload letter of support at the end of this form) *
Is the nominee available and willing to travel to attend required meetings? *
If the nominee meets the suggested qualifications for this office, please elaborate below. *
Please enter Highest Degree earned/Major/Institution
Work and TRIO experience. (May attach résumé)
Nominated by *
Nominator's Phone *
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