State/Territory VOAD Representative Board of Directors Nomination Form

Nominee's Contact Information

Thank you for choosing to submit a nomination for the National VOAD Board of Directors! This year, there is one open position for State/Territory VOADs. All nominations must include two letters of recommendation from a National VOAD Member Representative (National, Associate, or State/Territory) and must be current (dated: 2024). One of these letters of recommendation must be from the State/Territory VOAD the nominee represents.

Please note, incomplete applications will not be considered by the Nominations Committee

Questions regarding the nomination process or criteria may be directed to the Nominations Committee, at james.kirk@pcusa.org.

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* 1. Name:

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* 2. Organization:

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* 3. Phone:

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* 4. Phone (Alternate):

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* 5. E-mail:

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* 6. State/Territory VOAD Nominee Represents:

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* 7. Position(s) Held in State/Territory VOAD:

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* 8. Time Served as State/Territory VOAD Representative: