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Officer Nomination Form

Nominations are being sought for the following positions: President-Elect, Secretary, Treasurer, and two for the Board of Advisors (BOA).

Remember, you must be a dues-paying member to serve! Also, Executive Officers must be former campers; BOA members may be any NYSCAA alumni. See our Executive Officer Duties Web page for more detailed information or contact our current officers at with any questions.

If you are nominating an NYSC alumni (other than yourself) for office, please fill out the additional information requested in the Nominator section.

All votes must be received by 11 PM EST on Saturday, September 13, 2008.

Candidate Information
 
Title
Preferred Full Name
(e.g., Johnny Smith, Dr Rho D Dendron)
First Name
Middle Name
Last Name
Camp Last Name
(or maiden name)
Suffix
Nickname
Delegate State
(or Country) and Year

(e.g., Hawaii 1982, Germany 2001)
Staph Participation
Email
Phone
Officer Position

Why would you like to be a candidate for this position, or why are you nominating this person to be a candidate for the selected position?

Nominator Information (if applicable)
 
Nominator's Name
Nominator's Email
Nominator's Phone

Did your candidate agree to becoming a nominee?
   Yes    No