Online Election Ballot
Please fill out this form to cast your vote in the election. All responses are confidential and will be used solely for election purposes.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you eligible to vote in this election?
*
Yes, I am eligible to vote
No, I am not eligible
Select your preferred candidate for President
*
Candidate A
Candidate B
Candidate C
Abstain
Select up to 2 candidates for Board Members
*
Candidate X
Candidate Y
Candidate Z
Abstain
Referendum: Do you approve the proposed amendment?
*
Yes
No
Abstain
Rate the election process so far
1
2
3
4
5
Please provide any comments or feedback about the election process
Signature (please sign to confirm your vote)
*
Submit Ballot
Submit Ballot
Should be Empty: