Board of Directors Nomination Form

Nominator Contact Information

If this is a self-nomination, please continue to the next section.

Nominator First Name

Nominator Last Name

Nominator Email

First Name

Last Name

Affiliation (if applicable)

Phone

Nominee Confirmation

Summary of Qualifications

Please describe nominee’s history with SAH including prior board experience, committee service, publication, conference participation, etc.

Please describe nominee’s prior non-SAH board, committee, or other non-profit organization experience.

Statement of Interest (PDF)

Please use this naming convention: Lastname_First_statement

CV (PDF)

Please use this naming convention: Lastname_First_CV

New code

Please type the code above