Board Nominations

Leadership Pinellas 2021 Board Nomination

Thank you for taking the time to submit a nomination for our open board positions. We have three director positions available and executive positions of Secretary, Treasurer and President Elect. It is important that you have each nominee's consent before submitting their name. All nominees must consent in order to be considered for the ballot by the Elections Committee. You also must be current on your dues to nominate and vote. Once you have entered in the information for each nomination, please scroll to the bottom of the nomination page and click the Submit button. You will receive a message on your screen to confirm your nomination was received. Thank you so much for your participation.

Step 1 of 2

Your Information
LP - Current*
Are you current on your dues? If you are not current please go to https://www.leadershippinellas.com/dues to pay your dues and then come back to the nomination form.
- Yes
- No
Your name*
First Last
Your phone number*
Your email*

First Nomination
First Nominee: Permission*
I confirm that I obtained the permission of this nominee to submit their name and contact information.
- Yes
Select a choice:*
First Nominee's name*
First Last
First Nominee's phone*
First Nominee's email*
Second Nomination (if applicable)
Second Nominee: Permission
I confirm that I obtained the permission of this nominee to submit their name and contact information.
- Yes
Select a choice:
Second Nominee's name
First Last
Second Nominee's phone
Second Nominee's email
Third Nomination (if applicable)
Third Nominee: Permission
I confirm that I obtained the permission of this nominee to submit their name and contact information.
- Yes
Select a choice:
Third Nominee's name
First Last
Third Nominee's phone
Third Nominee's email
Fourth Nomination (if applicable)
Fourth Nominee: Permission
I confirm that I obtained the permission of this nominee to submit their name and contact information.
- Yes
Select a choice:
Fourth Nominee's name
First Last
Fourth Nominee's phone
Fourth Nominee's email
Name
This field is for validation purposes and should be left unchanged.

Leadership Pinellas 2021 Board Nomination

Step 1 of 2

Your Information

First Nomination

Second Nomination (if applicable)

Third Nomination (if applicable)

Fourth Nomination (if applicable)