LA PBL Board of Directors Nomination Form
Congratulations on taking the first step to nomination for the Louisiana Phi Beta Lambda Board of Directors. The nomination form must be complete to be considered for a board position. Remember to have e-mail a letter of recommendation to the State Adviser Bobbie Schnepf (stateadviser@lapbl.org) by the nomination deadline: March 1, 2015
Board Position Sought *
Nominee's Information
First Name *
Your answer
Last Name *
Your answer
Chapter Name
*School Name*
Your answer
Street Address *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Cell Phone *
Your answer
E-mail Address *
Your answer
Nominee Certification *
Choose which item identifies the nominee
Birth Date *
MM
/
DD
/
YYYY
Important Information
Online nominations must be received by the State Office by March 1. No hard copies, email copies, faxed copies, or incomplete applications will be accepted.

The only emailed document needed is the letter of recommendation, which must be sent to the State Adviser.

Please confirm your information is correct before you click "submit".

If you have questions, please contact State Adviser Bobbie Schnepf at stateadviser@lapbl.org

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