Nomination Form for 2022 Elections

Deadline to submit nominations:
Monday, August 1, 2022

Read job descriptions at this link.

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

Positions on the 2022 ballot:
  • President Elect
  • Vice President
  • Secretary
  • Western Washington At-Large Director
  • Practice Panel Director
  • PTA Director
  • Special Interest Group Panel Director
  • Delegates to the APTA House of Delegates
  • 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