Election Nomination Form

   Below is a sample of the nomination form for the upcoming local elections. Please see your district email for the attachment that you should fill out and return to Juanita Samms at the email address listed on the form if you are interested in running for one of the positions. The forms are due by March 8th with the election being held on March 17th.



Executive Board Officer

Nomination Form

The following positions on the PASS Executive Board are up for election. The positions are for a three (3) year term beginning July 1, 2017 and ending June 30, 2020. The election will be held on March 17, 2017.

Positions up for election:

1st Vice President


Membership Chairperson

IEA Region Representative

I nominate (You may self-nominate) _____________________________________________ for the position of

______ 1st Vice President

______ Secretary

______ Membership Chairperson

______ IEA Region Representative on the PASS Executive Board.

Nominator’s Name:________________________________________________________________________

I, ___________________________________________________ agree to accept the nomination for PASS Executive Board. I agree to commit to completing a three year term, attend all required meetings, and contribute to the PASS Executive board to the best of my abilities.

Nominee Signature: _______________________________________________________________________

Nominations are due March 8, 2017 @ 3:00 pm.

Please send this nomination form via email to Juanita Samms via school email (jsamms@psd202.org)

Please include a brief biography in the space below.

Nominations due: March 8, 2017

Elections Held: March 17, 2017

Tally: March 24, 2017