Board Nomination Form

Forms are due December 1, 2024 at 5:00 p.m.

2025 Board Nomination Form

Name(Required)

First Last

Email(Required)

Phone(Required)

Assistant/Support Staff Name

First Last

Assistant/Support Staff Email

Assistant/Support Staff Phone

Do you have a Communication staff person for your entity/jurisdiction?

Yes

If yes, enter their name

First Last

and email address

Are you being appointed by your jurisdiction?(Required)

Yes

Name of represented jurisdiction or entity?

Upload formal document if required by your jurisdiction.

Max. file size: 1 MB.

Do you wish to be considered for an officer position?

Officer position desired:

President

First Vice President

Second Vice President

Treasurer

Executive Committee Alternates

If the jurisdiction you represent is on the executive committee (jurisdictions on the executive committee are listed below in the dropdown menu), you are permitted to designate an alternate who can vote on your behalf at Executive Committee meetings only. Select your jurisdiction if applicable:

Alternate Name

First Last

Alternate Email

Alternate Phone

Boards, Committees & Groups

Transportation

Regional Planning

Programs

Funding

Resource Library

Data & Maps

Forms are due December 1, 2024 at 5:00 p.m.

2025 Board Nomination Form