Is this nomination for yourself or another individual? *
Nominee Contact Information
Please fill in the contact information for the nominee. If you are nominating yourself, you may skip the questions in this section, and proceed to the "Nominated Office" question.
Has the nominee been contacted and agreed to serve in this role?
If "No", we will contact them for confirmation prior to submitting their name for consideration by the District Leadership Committee.
Nominee Email address:
Please indicate the office for which the person is being nominated.
If you selected "Division Director" in the previous question, please indicate which Division(s) should be considered.
Area Directors, Administration Manager, Finance Manager, and Public Relations Manager are all appointed positions. If you or someone you know would like to be considered for one of these appointments, please indicate which position below. Your selections will be forwarded to the incoming District Director for consideration.
Please select appointed positions(s) for which you or someone you know would like to be considered:
If you selected "Area Director" in the previous question, please enter which Area(s) are of interest.
Are you interested in chairing or serving on one of our committees?
Please enter any information that might help the incoming District Director in their selection process.
Thank you for taking the time to fill out this nomination form. Please address any questions to DLC@d7toastmasters.org.