Administration Section Board Nomination Application 2017
Please fill out the following information if you are interested in nominating yourself or another member to serve on the MiALA Administration section board.

If NOT self-nominating (or, if nominating a colleague), please fill in as many fields as possible. If you don't have the relevant information about your nominee, please type Unknown.

First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Name and email address of nominee (only if NOT a self-nomination):

I am interested in serving (or nominating the above) in the following role on the Administration section board.  (Required)
Choose 1
If you checked Other above, please specify here

Brief biography  (Required)

List prior leadership experience  (Required)

Why would you like to serve (or nominate the person listed above to serve) on the Administration section board?  (Required)

Additional information that you would like to include regarding your nomination application.

I have read and understand the expectations of serving on the MiALA Administration section board.
Attach photo image file here. Please note that this photo will be included in the candidate information on the MiALA website.  (Required)
Please enter the letters you see in the image above