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Nomination Form
Executive Board Positions in 2008 and Area Committee Positions in 2008

Please use this form to nominate candidates for the AAPT Executive Board and for Area Committee positions. Nominations submitted by June are considered for appointment next January. After June, nominations are considered for the following year.

* - Required Fields

 
1. Nominating Position

I am nominating myself or the following person for the National Office of:


    OR
I am nominating myself or the following person for the AAPT Commitee (Please indicate first, second, and third choice):
    First Choice


    Second Choice


    Third Choice
2. Nominee Contact Information

Name of Nominee*:


Institutional Affliation*:


Institution Address:


Home Address:


Work Phone:


Home Phone:


Fax Phone:


E-mail:
3. Nominee Experience & Activities

Please complete the Educational Experience, Professional Experience and Activities information areas:
    Educational Experience (list institution, degree, and year received):


    Professional Experience:


    AAPT and Other Physics Activites:
4. Nominator Information (if not self-nominating)

    Nominator (Name and Address):


    Daytime Phone:


    Has individual agreed to be nominated?

      Yes
      No

    Please include supporting statement for the nominated individual:

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