Professional Board Election Voting Form
Please complete the following form to cast your vote for the upcoming board election. Your responses will be kept confidential.
Voter Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization or Department
*
Membership ID (if applicable)
Are you an eligible voting member?
*
Yes
No
Instructions: Please select one candidate for each board position. You may also choose to abstain from voting for a position.
Chairperson
*
Alice Johnson
Brian Lee
Abstain
Other
Vice Chairperson
*
Carmen Smith
David Kim
Abstain
Other
Treasurer
*
Emily Chen
Frank Miller
Abstain
Other
Secretary
*
Grace Patel
Henry Evans
Abstain
Other
General Board Member (Select up to 2)
*
Isabella Rossi
James Carter
Karen Brooks
Abstain
Other
Comments or Suggestions (Optional)
Please complete the captcha to verify you are not a robot.
*
Submit Vote
Should be Empty: