Nomination Form for 2017 Elections

Deadline to submit nominations:
Monday, August 7, 2017

The Nominating Committee will contact your nominee to assess their willingness to serve.

Positions on the 2017 ballot:
  • Treasurer
  • Eastern Washington-At-Large Director
  • Professional Enhancement Panel Director
  • Chief Delegate
  • Delegates to the APTA House of Delegates
  • PTA Caucus Representative
  • Nominating Committee member

360-352-7298
PTWA, 208 Rogers St NW, Olympia, WA 98502

Nominee Name (Please submit one form per individual)


City


Position(s)

Your Name


Your Phone Number and Email Address


Reason for Nominating this Person