Page 131 - NSPDK 80th Eastern Regional Conference Workbook 2020

NATIONAL SORORITY OF PHI DELTA KAPPA, INC. • 80TH ANNUAL EASTERN REGIONAL CONFERENCE

National Sorority of Phi Delta Kappa, Inc.

“To Foster A Spirit of Sisterhood Among Teachers and to Promote the Highest Ideals of the Teaching Profession”

Eastern Region Nomination Form
Election Year: 2020

Nomination for Eastern Region Nominations Committee Member
Please type or print to complete the following:

Chapter_____________________________ Location____________________________________
Name of Candidate_____________________________________________________________________

Address of Candidate ___________________________________________________________________
City_____________________________ State___________________________ Zip__________________

Telephone Number(s)__________________________________ Email____________________________
Year Initiated___________________________________ Chapter________________________________

Is candidate currently financial in Chapter? ___ Yes ____ No
Is candidate currently financial in Region? ___ Yes ____ No
Is candidate currently financial in National? ___ Yes ____ No

List offices held in Chapter:________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

List offices and committees held on National level: _____________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Regional Conferences Attended (List Years.) _________________________________________________
________________________________________________________________________________________

National Conferences Attended (List Years.) _________________________________________________
________________________________________________________________________________________

Does Candidate possess skills related to the position for which she is being considered? ____ Explain:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

This candidate has been endorsed by: _____________________________ Chapter

Basileus: _____________________________ _________________________________ ________
Print Name Signature Date

Grammateus: ________________________ _________________________________ ________
Print Name Signature Date
Revised 11/2019

120 WWW.NSPDKEASTERNREGION.ORG