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Official Nomination Form

As an Active or Life member of the NCSRC, Inc. I have reviewed the CRITERIA FOR CANDIDATE NOMINATION and submit the members listed below for consideration as candidates. I understand that I do not need their permission and that their membership status and eligibility shall be verified in accordance with established criteria.

CURRENT VACANT POSITIONS – 2018 ELECTION:

TREASURER  2 YEAR TERM
VICE PRESIDENT 1 YEAR TERM
SECRETARY 1 YEAR TERM
JR. DELEGATE 4 YEAR TERM
BOARD OF DIRECTORS – WEST 3 YEAR TERM
BOARD OF DIRECTORS – CENTRAL 3 YEAR TERM
BOARD OF DIRECTORS – EAST (1)
3 YEAR TERM
BOARD OF DIRECTORS – EAST (2) 3 YEAR TERM

Once submitted this form will be routed to the Nominations Committee Chairperson Matthew Pavlichko, MS, RRT-NPS (matthew.pavlichko@carolinashealthcare.org). THE DEADLINE FOR SUBMISSIONS IS APRIL 15, 2018. Thank you in advance for your nominations, we will announce the election results at the annual NCSRC meeting on September 19-21, 2018.

Once submitted this form will be routed to the Nominations Committee Chairperson (Rusty Sugg, BAS, RRT-ACCS-NPS, RCP wsugg@email.pittcc.edu).
Thank you in advance for your nominations, we will announce the elections at the NCSRC annual meeting in September. (April 7, 2017) IS DEADLINE FOR SUBMISSIONS.