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Nominating Committee Application

By completing this form you are requesting consideration of nomination to one of three positions on the nominating committee for the 2025-2026 year.

Please complete all of the fields below, upload a jpeg photo, and upload a brief bio along with the application and then click submit. You will receive confirmation once the form is received.  
1931 Cordova Road, #229
Ft. Lauderdale, FL 33316
Ph: 435-901-2544
Fax: 435-429-6600