Association for Child & Youth Care Practice, Inc. | Board of Directors Nomination Form

Please Enter Nominator Information

Nominator Name:

Nominee Name:

Thanks for making a nomination for the Election to the ACYCP Board of Directors.

Please have the person who you are nominating provide the information outlined below:

In the 'Brief Biography', please include information about yourself that you believe will help others understand how you are qualified to become a board member.

Brief Biography:

In the 'Brief Statement of Intention', please include a statement about why you seek to join the ACYCP Board and what you hope to accomplish as a board member. What is your why? What ideas do you have?

Brief Statement of Intention:

Nominator’s Contact Information: (email, address, phone)

Nominee’s Contact Information (email, address, phone)

The information on this form will be included on the election ballot.

Please submit on-line by the posted deadline.

Questions, comments or concerns? Please contact Michael Mitchell, propman46@gmail.com, (608)846-2860 [Madison, WI]

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