Is the address provided a (a) residential address or a (b) business address? *
Phone contact number (xxx-xxx-xxxx) *
Your answer
Neighborhood of residence or business? Note: these are the City named and outlined neighborhoods within NPU-W. *
Choose
Benteen Park
Boulevard Heights
Custer-McDonough-Guice
East Atlanta
Grant Park
Ormewood Park
Woodland Hills
By submitting this form, I am declaring that I would
like to be a 2023 NPU-W Leadership candidate in the November 2022 election of NPU-W Leadership. *
By submitting this form, I am declaring my candidacy for the following position: *
Choose
NPU-W Chair
NPU-W Vice-Chair
NPU-W Secretary
By submitting this form, I am confirming that I have read the applicable Bylaws and Operating Procedures of NPU-W. *
I agree, that if elected as Chair, Vice-Chair or Secretary, that I will uphold the Bylaws and Operating Procedures of NPU-W. (NPU-W ByLaws Article 3, C, D & E)
*
I agree, that if elected as Chair, Vice-Chair or Secretary, that I will abide by the provisions of the NPU-W Bylaws, Article 5: Conflicts of Interest, Remuneration and Receipt of Benefit. *
A copy of your responses will be emailed to the address you provided.