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OSRT Board of Directors Nomination
Review the Board of Directors Nomination eligibility criteria posted under the Professionals Tab. Deadline for nomination is May 15
Nominee Full Name
(*)
Please type full name.
Nominee Email
(*)
Please enter a valid email of the form userid@email.com
Nominee Home Address
(*)
Enter street address
City
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State
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Zip
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Nominee Phone-No dashes
(*)
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Nominee Credentials
(*)
Nominee Credentials
ARRT
ARDMS
NMTCB
MDCB
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Does the nominee meet the OSRT membership requirement at the time of nomination?
(*)
Does the nominee meet the OSRT membership requirement at the time of nomination?
Yes
No
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Eligibility for this position: The nominee must have served on a committee for at least 1 year or, if running as president-elect, have served a 3-year term on the OSRT Board.
OSRT Service Requirement Met
(*)
OSRT Service Requirement Met
Yes
No
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Check Position Running
(*)
Check Position Running
Director
President-elect
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If you are NOT the nominee listed above, please fill out the 3 fields below. Otherwise, leave them blank and go to the Nominee Bio text box.
Your Name
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Your Email
Please enter a valid email of the form userid@email.com
Your Phone-No dashes
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In the Biographical Sketch text box below, provide a pertinent biographic sketch of the nominee including past and/or present OSRT required service and qualifications. Indicate if this nomination is for the president-elect position. (200 words maximum).
Biographical Sketch:
(*)
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Click the submit button below and check your email for your copy of the submitted form.
CAPTCHA
(*)
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