2023 ANAC Nominations Form

Please complete the following form to nominate individuals for open positions on ANAC's Board of Directors and Nominating Committee. This form must be submitted by May 24, 2023.

President-Elect - One person will be elected. You can nominate up to three ANAC members.

President-Elect

President Elect

Secretary - One person will be elected. You can nominate up to three ANAC members.

Secretary

Director at Large - Three people will be elected. You can nominate up to three ANAC members.

Director at Large

Nominating Committee - Two people will be elected. You can nominate up to three ANAC members.

Nominating Committee

All nominees have given their consent to serve if elected: *

Email Address: *

Electronic Signature - Enter your name preceded and followed by / to verify this form. (e.g. /Jane Doe/) *

Deadline to submit Nominations Form: May 24, 2023

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.