Board Nomination Form

Please complete the form below and insert the information for the nominee. After completing the form, you will be taken to a page to download the the nomination packet. Be aware that the supervisor you list will receive an emailed copy of this intent to run for a Region VI VPPPA Inc board position.

Position(Required)

Chairman

Secretary

Director at Large #2

Director at Large #4

Director at Large #5

Employee Representative from a Represented Site

Name(Required)

First Last

Email(Required)

Phone(Required)

VPPPA Member ID(Required)