Page 9 - 2017 TLOD Candidate Bulletin
P. 9
TO P LA D I ES O F DI S T I NCT I O N , I NC.
NATIONAL OFFICIAL FLOOR NOMINATION FORM
Recorded information MUST address the Candidate Eligibility Requirements & be legible
Submit to National Nominating Committee Chair: Lady Dorothy Fisher
{ For Pre-Certification, submit by email to spikedjf@aol.com by June 1, 2017 }
Name: ____________________________________________________ Area: ____________
Address: __________________________________________________ Chapter: __________________________
City: _____________________________ State: ______ Zip: _______ #Years With Present Chapter: _________
Contact Phone #: ________________________ #Years Active TLOD: _______________
Email: __________________________________________________
National Office / Position Applying For: ______________________________________________________
Educational/Professional Background:
SERVICE TO TLOD
LOCAL AREA NATIONAL
OFFICES OR POSITIONS HELD
COMMITTEES
CONFERENCES ATTENDED (Record Specific YEARS)
_________________________________ _______________
Nominee’s Signature Date
_________________________________ _________________________________ _____________
Chapter President’s Name (1) Chapter President’s Signature Date
_________________________________ _________________________________ ______________
Chapter Financial Secretary’s Name (2) Chapter Financial Secretary’s Signature Date
(1) President’s Signature confirms the nominee is an active chapter member eligible for the position being sought as
specified under “Syn-Lod Elections” in the TLOD Standard Operating Procedures Manual. Not more than two ladies
from the same chapter may be candidates for national officer positions in the same election.
(2) Financial Secretary’s Signature confirms the nominee is an active chapter member in good financial standing with the
chapter.