Prince William Lassie League
BOARD OF DIRECTORS NOMINATION FORM 2017 - 2018 An election is held every year, at the August Board Meeting, to elect Directors to the Board of Directors of the PWLL, and at the September Board Meeting, to elect the PWLL Officers. We are currently accepting nominations for the 2018 season. If you are interested in serving on the Board, or would like to nominate someone else to serve: Submit completed forms by email to Naomi Greener at
[email protected], or by US mail to the address on the form, or drop your completed form off at the drop box on the PWLL shed at Cloverdale Park. If you put it in the shed drop box, please email me that you did so. Nominations must be received by email, at shed drop-box, or postmarked no later than July 15, 2017. All nominees will be contacted by August 1st to confirm their willingness to serve on the Board.
I, (Print Name) __________________________________________________________________ would like to nominate to
Myself, or ______________________________________________________________________________________ be considered
a
person
of interest to join
Please check all positions of interest: Director,
Jr. Div. Director,
Treasurer,
Registrar,
President,
Pigtail Div. Director,
Publicity Director,
the Prince William
Vice President,
Umpire Director,
Instruct. Div. Director,
Parliamentarian,
Other:________________________________________.
Lassie League Board
Liaison,
of Directors.
Equipment Director,
Ways and Means Director,
Historian,
Member at Large,
Sr. Div.
Secretary,
PLEASE CALL ME I HAVE QUESTIONS ABOUT _______________________________________________________.
If you are nominating yourself, and are not an existing board member, please provide a short bio about yourself and your skill set that you feel would enhance the board and the running of the Prince William Lassie League. (you may use a 2nd page) ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
NOMINATOR’S CONTACT INFORMATION Nominator’s Signature: ________________________________________________________ Date: _______________ (When nominating oneself, one’s signature, above, indicates one’s willingness to serve if elected.)
Phone: (h) ________________________________________ (c) _____________________________________________ E-mail: _________________________________________________ Preference: __H __C __ E-mail (check preferences)
NOMINEES CONTACT INFORMATION (If different than above. Please Print) Nominee Name: __________________________________________________________________________________ Street Address: ___________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Phone: (h) _______________________________________ (c) _____________________________________________ E-mail: _______________________________________________ Preference: __H __C __ E-mail (list preference 1,2,3)
Please MAIL to the BELOW address, DROP OFF at designated location or EMAIL it to
[email protected] by July 15, 2017. PRINCE WILLIAM LASSIE LEAGUE ATTN: SECRETARY P.O. Box 1706 • Dale City, VA 22195-1706 (703) 878-1225
[email protected] • www.pwll.org