Board Self Nomination Form

Self Nomination Form

Fields marked with an * are required.

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Nominee Information

Positions Being Nominated For:

select all that you are applying for

Eligibility Confirmation:

Commitment Acknowledgment

Experience & Qualifications

If yes, please explain.

The WPL reserves the right to request a Criminal Record Check for elected board members, particularly for roles involving financial oversight or interaction with youth.

Signature

  • I confirm that the information provided is accurate.

  • I understand that submitting this form does not guarantee election

Generate from name

Payment

USD