2018 NCURA Region VI Officer Nomination Form
Please answer the following questions for the consideration of your nomination for a 2018 NCURA Region VI Officer role.

The 2018 NCURA Region VI Nominations and Elections Committee will review all applications and notify candidates regarding selection for the election slate once review and consideration has been completed.

Officer position being nominated for: *
I am nominating: *
Nominee Information:
Name *
Your answer
Position/Title *
Your answer
Organization/Institution *
Your answer
Contact Information (Phone, E-mail, Mailing Address) *
Your answer
Nominee/Nominator Statement: *
Your answer
In addition to completing this form, your complete nomination must also include nominee's resume (no more than two pages) and any letters of recommendation (letters are optional). Please send resume and letter(s) of recommendation to NCURAregionVI@gmail.com. Please note that your nomination will not be complete unless a resume and letter(s) of support are separately submitted via e-mail.
Thank you for submitting your nomination to the NCURA Region VI Nominations and Elections Committee. We will review your nomination and be in touch with any questions and once decisions have been made.
If you have any questions, please do not hesitate to contact Lisa Wottrich, NCURA Region VI Nominations and Elections Committee Chair, at lisa.wottrich@sri.com.
** Please remember to separately submit your resume and letter(s) of recommendation to NCURAregionVI@gmail.com**
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