Board of Directors Nomination Form

Board of Directors Nominating Form

Please enter your name: *
Your Email: *
The best phone number to reach you at: *
Are you nominating yourself or someone else?: *
I am nominating myself
I am nominating someone else
Name of Person you are Nominating (if someone other than yourself):
Comments/Additional Information:

Thank you for submitting a nomination for the IHLA Board of Directors
You will be contacted soon.