Board of Trustees Nomination Form - CSHEMA - EHS Leadership in Higher Education

Please nominate a member to serve in the role of Vice President, Secretary, or Member At-Large.

Nominee First Name *

Nominee Last Name *

Nominee Institution

Nominee Email *

For which position(s) are you nominating this individual? *

Vice President

Secretary

At-Large Member (2 Positions)

Your First Name *

Your Last Name *

Your Institution

Your Email *