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AC Elections

Nomination Form for the Advisory Councils

The Committee on Nominations and Elections (CNE) is pleased to announce year-round nominations for service on the Audiology Advisory Council and Speech-Language Pathology Advisory Council election slates.
Nominations submitted at this time will be considered for the 2009 Elections (please see election schedule for your state).

AC Nomination and Election Eligibility Requirements and Procedures
Nominator's ASHA Membership ID # (Required)
 
Nominator's Full Name
Nominator's State of Residence (Required)
 

Advisory Council Nominations

Instructions
  • All nominees must be ASHA members, but need not be members of the state associations.
  • Your state of residence must be the same as your Advisory Council nominee(s) as per ASHA records.
  • You may nominate up to two people from your state for the Audiology Advisory Council and up to two people from your state for the Speech-Language Pathology Advisory Council.

I hereby nominate the following ASHA member(s) to the ASHA Audiology Advisory Council:
First Audiology Advisory Council Nominee
Nominee's Last Name
Nominee's First Name
Nominee's Middle Name
Nominee's City
Nominee's State

Second Audiology Advisory Council Nominee
Nominee's Last Name
Nominee's First Name
Nominee's Middle Name
Nominee's City
Nominee's State

I hereby nominate the following ASHA member(s) to the ASHA Speech-Language Pathology Advisory Council:
First Speech-Language Pathology Advisory Council Nominee
Nominee's Last Name
Nominee's First Name
Nominee's Middle Name
Nominee's City
Nominee's State

Second Speech-Language Pathology Advisory Council Nominee
Nominee's Last Name
Nominee's First Name
Nominee's Middle Name
Nominee's City
Nominee's State

Nominations are confidential and member IDs are for tracking purposes only.



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