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Form to Nominate a Candidate

Nominate an individual for the SWCS Board of Directors. Use the form below or click here for PDF.

(Please print or type)
1. Individual Recommended:

Name:

Chapter Name:

Home Street Address:

Home City, State, Zip:

Home Phone:

Office Street Address:

Office City, State, Zip:

Position Title:

Office Phone:

Fax:

Email address:

2. Position Recommended for:

3. Biographical Information (background and experience—200 words or less.)

Recommendation form- p. 2

4. Platform Statement (what does the individual plan to accomplish if elected—200 words or less)

5. Certification of Individual's Willingness to Serve:
I, ____________________________________________, agree to serve as a Board of Director of the Soil and Water Conservation Society if elected. I have read the Director's Roles and Responsibilities and agree to perform those specific to my designation.

_______________________________ ____________________
Signature Date

6. Statement of Recommendation:
I/We, the undersigned member(s) of the ____________ chapter of the Soil and Water Conservation Society, recommend the above named individual for the SWCS Board of Directors. For further information, contact:

Name:

Phone:

Email:

Address:

Signature: