Louisiana PBL Board of Directors Nomination Form
Congratulations on taking the first step in nominating a member, adviser, or businessperson to serve on the Louisiana Phi Beta Lambda Board of Directors.

The nomination form must be complete to be considered for a board position.

Remember to upload a letter of recommendation, a short biography, and a high quality professional headshot to this application prior to completion.

Nominators/Nominees MUST upload their bio, headshot, and letter of recommendation to: https://www.dropbox.com/request/Bt4ork8HryhTE4mRrDta

Nominations for the Board of Directors are due on or before February 28, 2020.
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Board Position Sought *
Nominee's Information
First Name *
Last Name *
Chapter Name
*School Name*
Street Address *
Address Line 2
City *
State *
Postal/Zip Code *
Nominee's Cell Phone *
Nominee's E-mail Address *
Nominee Certification *
Choose which item identifies the nominee
Birth Date *
MM
/
DD
/
YYYY
By checking this box, I am agreeing that I have correctly uploaded all required documentation. *
Required
By checking this box, I am agreeing that the information in this application is correct. *
Required
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