Nominate a Board Member

Fields marked with an * are required


Please complete and submit the following form for qualified nominees.

Please type the full name as used in professional settings.

Please type best phone number to reach the nominee.

Please enter the best email to contact the nominee.

We desire to build diversity within our board to reflect the diversity of our state.

We are trying to diversify our board in all areas.

See our map for clarification.

As an employee, volunteer, supporter. Please share any firsthand knowledge.

Grant writing, networking, speaking, Social Media, administration, etc.

The more specific and personal the better.

Other Boards, work, church, community etc.

Been to NNAY, CCDA conference, other trainings?

Name of the person doing the nominating

This will be used to confirm your submission and clarify responses.

Please select all that apply.