Nomination Form for 2021 Elections

Deadline to submit nominations:
Sunday, August 1, 2021

Read job descriptions at this link.

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

Positions on the 2021 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

Nominee Name (Please submit one form per individual)


City


Position(s)

Your Name


Your Phone Number and Email Address


Reason for Nominating this Person