Nomination Form for 2018-21 WEAC Region 10/Retired Executive Committee

Nomination Form for 2018-21 WEAC Region 10/Retired Executive Committee

Nomination Form for 2018-21 WEAC Region 10/Retired Executive Committee

NOTE:

Form must be submitted by January 12, 2018.

If form is printed, it must be postmarked by January 12, 2018, and mailed to:

WEAC Executive Director
Post Office Box 8003
Madison, WI 53708-8003

Please Note:

  • If elected, I am willing to serve a three-year term of office beginning September 1, 2018, for the WEAC Region 10/Retired Executive Committee position checked above.
  • I understand that no portion of dues money collected at the local, state, or national level may be used to promote my candidacy for the WEAC Region 10/Retired Executive Committee position.

The following section should only be filled out if you are nominating someone other than yourself.

Sending