2024 - ON-LINE AFFIDAVIT OF CANDIDACY

Instructions: Elective Board of Directors positions are divided by even / odd election years for two-year terms. All Candidates must complete this and all other forms as instructed by the published deadline [www.ng911institute.org] for this election. Late, incomplete, or non-emailed documents will not be accepted, and the candidate will not appear on the ballot.

Candidate Affirmation

I hereby swear or affirm that I:

(1) declare my candidacy for the position/office indicated above, understand that I must be qualified to hold such office, understand that I must complete the application, and understand that I may seek election to only one (1) Board position;

(2) request that my name be printed on the official public ballot for this election, and agree to public release of all relevant information regarding my candidacy;

(3) am an Institute Member and am eligible, pursuant to the Bylaws and election rules, to seek election for and to hold this office;

(4) have read, understand, and agree to; abide by the NG 9-1-1 Institute’s election process and have reviewed the information published on the Institute’s website, the NG 9-1-1 Institute’s Bylaws, comply with the Institute’s antitrust and other policies, and comply with all other rules, processes, and/or procedures as created or published by the Board of Directors;

(5) acknowledge that if I cease to be qualified for any reason to hold my Board position, that it (and any Officer position) terminates immediately by operation of the Bylaws and without any notice; and

(6) agree to abide by any/all decisions of the Board of Directors regarding the election process and my Board service, and that all decisions of the Board are final and non-appealable.

Question Title

* Candidate’s Name (print exactly as it should appear on the ballot – no titles, parentheses, or quotation marks)

Question Title

* CANDIDATE'S ELECTRONIC SIGNATURE.
PLEASE TYPE YOUR NAME BELOW. BY TYPING MY NAME IN THE BOX, BELOW, I AGREE AND UNDERSTAND THAT THIS IS AN ELECTRONIC SIGNATURE AND IS THE LEGAL EQUIVALENT OF MY MANUAL / HANDWRITTEN SIGNATURE, AND I CONSENT TO BE LEGALLY BOUND TO THIS AGREEMENT. I HEREBY SUBMIT THIS FORM AND ATTACHED INFORMATION FOR THE ELECTION TO THE BOARD OF DIRECTORS OF THE NG9-1-1 INSTITUTE AND AGREE TO ALL THE COMPLIANCE AND ELECTION RULES THERETO.

Question Title

* I have completed the Affidavit of Candidacy

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