Nomination Form - NQA Board of Directors

To nominate more than one person, please repeat this process. You may nominate yourself.

Nominees must be one of the following membership types for at least one calendar year prior to nomination:

Practitioner
Professional
Lifetime Member of the NQA

Please make your statements specific, clear and concise. All statements will be publicly available on the NQA Website as well as on the Election Ballots during the election cycle. Our goal is to provide our voting members enough information about each candidate to help them make an informed decision. The NQA reserves the right to edit content for space available.

Please upload a headshot approximately 250 x 250 pixels at a minimum of 150dpi

Fields marked with an * are required.

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SECTION I - NOMINEE INFORMATION
PLEASE FILL IN THE INFORMATION BELOW, AS COMPLETELY AS POSSIBLE, ON THE NQA MEMBER YOU ARE NOMINATING.

NOMINEE Contact information: Are you Nominating yourself?

Eligible NOMINEE Membership Categories *

NOMINEE First Name *

NOMINEE Last Name *

NOMINEE Email *

NOMINEE Phone *

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SECTION II – NOMINATOR INFORMATION

NOMINATOR First Name - This is you *

NOMINATOR Last Name - This is you *

NOMINATOR Email *

NOMINATOR Phone *

1. How long have you known the nominee? *

2. What particular practical skills do you feel your nominee would bring to the Board of Directors? *

3. Besides practical skills, what else can this nominee contribute to the NQA? *

4. How would you describe this person's character? *

Please verify that you have checked the “I'm not a robot” checkbox.

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