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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.
CATEGORY NAME OF MEMBER and MAILING ADDRESS
President-Elect:
Vice President:
Secretary:
Treasurer:
Board of Directors:
Delegate:
Your Name:
AARC Membership #
 
 

You may send via e-mail to:  Travis Houston at travis.houston@caromonthealth.org
Thank you in advance for your nominations, we will announce at the NCSRC annual meeting in September. April 15 IS DEADLINE FOR SUBMISSIONS.