Council Nominations

Nomination Form / Formulario de Nominaciones

Nominee Information

Name(Required)
Address(Required)
(home/casa)
cell or work / celular o del trabajo

File Uploads

Please note the word count limits and document extensions we are able to accept. Thank you!
Accepted file types: jpg, png, pdf, Max. file size: 1 MB.
Accepted file types: doc, docx, Max. file size: 1 MB.
Submit a Word Document (.doc or .docx) between 75-100 words. Please do not exceed this word count, as our copy space is limited. The bio should be written in the first person, highlighting why you would like the position and believe you are qualified to fill it. / Envรญe un documento word (.doc o .docx) de 75-100 palabras. Por favor no exceda este nรบmero de palabras porque nuestro espacio de copia es limitado. La biografรญa debe estar escrita en primera persona, describiendo porquรฉ le gustarรญa la posiciรณn y porquรฉ cree que estรก calificado.
This field will be accepted as serving as a signature for the electronic document or record. / Este espacio serรก aceptado para servir como una firma para el documento electrรณnico o registro.
This field will be accepted as serving as a signature for the electronic document or record. / Este espacio serรก aceptado para servir como una firma para el documento electrรณnico o registro.

โ€œI have read the job description and the meeting schedule notations [see linked document above] regarding the position sought and I anticipate that, if elected, I will able to attend meetings on weekdays.โ€
He leรญdo la descripciรณn del trabajo y las notaciones de programaciรณn [ver documento vinculado anteriormente] en relaciรณn con el puesto buscado y anticipo que, si soy elegido, podrรฉ asistir a las reuniones durante la semana.

Submit Nomination / Enviar Nominaciรณn

To submit, press the button below. If successful, you will be taken to a new “form success” page. If after pressing submit you still see the above questions and your responses, your submission was unsuccessful. Please return to the above sections and ensure each required query is filled. Then, try submitting again. If this does not work, please contact Ellie Singer at esinger@epicenter.org. Para enviar, presione el botรณn de abajo. Si tiene รฉxito, serรก dirigido a una nueva pรกgina que indicarรก “formulario exitoso”. Si despuรฉs de presionar el botรณn, ve sus preguntas y respuestas, su envรญo no fue exitoso. Regrese a las preguntas anteriores y asegรบrese de completar todas las respuestas requeridas. Luego, intente de enviar el formulario de nuevo. Si esto no funciona, comunรญquese con Ellie Singer a esinger@epicenter.org.
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