District Representative - Willingness to Serve

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Districts NW2 and E7 may nominate candidates for 2021-22 District Representative. These nominations from the various units within these districts need to be submitted to their Coordinating Councils

Coordinating Council District:

NW-1

NW-2

SW-3

SW-4

E-5

E-6

E-7

E-8

Name

Phone

Unit

Address 1

Address 2

City

State/Province

Zip/Postal Code

Please summarize your experience in local unit (and/or statewide) committees, activities or leadership positions.

I fully understand the duties and responsibilities of a District Representative. If nominated, I agree to serve my District, and state that I am a member of WSSRA in good standing and that my membership dues are current.