2010-2011 District 31
Officer Nomination Online Form

You can submit your nomination for a 2010-2011 District 31 Officer either online using the form below or on paper (by mail or fax).

Click here for the paper nomination form. Please e-mail the paper form to the Nominating Committee Chairman at paulfischer@verizon.net, fax it to Paul at 978-468-2500, or send it to

Paul Fischer, PDG
2010-2011 District 31 Nomination Chair
11 Savoy Road,
Hamilton, MA 01982

You can use either the paper form or the online form. (You don't have to use both!)

District Officer Online Nomination Form
I wish to have the nominating committee consider the following person for the office of:
 District Governor
 Lt. Governor Education & Training
 Lt. Governor Marketing
 Division Governor - Division A
 Division Governor - Division B
 Division Governor - Division C
 Division Governor - Division D
 Division Governor - Division E
 Division Governor - Division F
 Division Governor - Division G

 
Nominee's name:
Education Level: CC    AC    CL    AL    DTM   
Address:
City, State, Zip:
Home Phone:
Work Phone:
Cell Phone:
FAX:
Email address:
Home club name and number:
Please describe any club and district offices held by nominated individual (include dates of service if possible). Please share with the nominating committee why you believe the nominated individual should be considered for the specified position. If there is additional information you would like to include about this candidate that you feel would assist the nominating committee in their deliberations, please email it to Nominating Committee Chairman at paulfischer@verizon.net.



Submitted by:
Your name:
Your email address:
Date: