American Speech-Language-Hearing Association

Nomination Form for the Special Interest Group Coordinating Committees

The ASHA Special Interest Groups are seeking nominations for the 2015-2017 Coordinating Committee (CC) vacancies. Only nominations submitted through this online form by 11:59 PM EDT, Wednesday, March 26, 2014, will be considered.

The Special Interest Group (SIG) Coordinating Committees plan and coordinate the activities of the SIGs and ensure they operate within established programmatic guidelines. As a SIG CC Member, one is expected to follow the roles and responsibilities specified by the Board of Special Interest Group Coordinators (BSIGC) and actively contribute to the success of the SIG.

Guidelines/Requirements

  • The term nominated for is from January 1, 2015 through December 31, 2017.
  • Both the nominator and the nominee must be members in good standing (i.e., current ASHA members/SIG affiliates with no current ethics violations).
    • ASHA International Affiliates, ASHA Associates, and Students* are not eligible to nominate, vote, or hold office). (*ASHA members who joined SIGs as doctoral students fall under the Student category.)
    • All participants must be current affiliates of the SIG for which the nomination is being submitted.
  • ASHA Members are eligible to submit nominations for any and all SIGs with which they are affiliated. However, individuals can only run for and serve on one CC at any given time.

Nomination Process

  • Nominations must be submitted through this online form by 11:59 PM EDT, March 26, 2014. 
    • Self-nominations are accepted and encouraged.
    • The number of vacancies varies by SIG; please check the list below for the number of vacancies on your SIG's CC. Individuals may submit up to 3 nominations per vacancy; additional submissions will not be counted.
    • Individuals may submit one nomination form per SIG. If multiple forms for the same SIG are received from an individual, only the most recent submission will be counted.
    • If you are eligible to nominate for multiple SIGs, a separate nomination form must be submitted for each SIG.
  • All nominees will be asked to complete a brief questionnaire about volunteer activities and service to the professions, in addition to providing a link to their ASHA Community profiles; please make sure your profile is complete and up-to-date.
  • Special consideration will be given to members who have graduated from ASHA's Leadership Development Program.
  • The respective CC will review all valid nominations to determine the slate of candidates for the election. Receiving a nomination does not guarantee a place on the slate.

Tip: Use the ASHA Community to search for colleagues within your SIG. View instructions on how to search. [PDF]

For questions regarding SIG CC nominations, contact Andrea Ducker at aducker@asha.org.

SIGs Seeking Nominations

The following SIGs are not holding elections in 2014:

* indicates required field.

Ballot

Nominator's ASHA Account Number:*

Nominations are confidential and Account Numbers are for tracking purposes only.

Nominator's First Name:

Nominator's Last Name:

Nominator's and Nominee's SIG:*

I nominate the following Affiliate to the SIG Coordinating Committee.

First Coordinating Committee Nominee

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

Second Coordinating Committee Nominee

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

 

Third Coordinating Committee Nominee

 

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

Fourth Coordinating Committee Nominee

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

Fifth Coordinating Committee Nominee

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

Sixth Coordinating Committee Nominee

Nominee's First Name:

Nominee's Last Name:

Nominee's City:

Nominee's State:

Why is this nominee a good candidate to serve on a SIG Coordinating Committee?:

Share This Page

Print This Page