Page 7 - 2017 TTA Candidate Bulletin

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Official National 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 in TTA: _______________
Email: __________________________________________________

National Office / Position Applying For: ______________________________________________________

Education and Achievements:

SERVICE TO TTA
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 Teens 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.