Chapter or Nominator's Name :
Name of Nominee:
Nominated for Office of:
All nominees are required to have been an Active member of NAAMA for at least the previous three years. Please state the year the nominee joined NAAMA and if he/she has been active since joining:

Position: Executive Committee (One Year Term): These positions require that the nominee has served as any one of the following and you must state the year served.

Delegate to the National Meeting: Year
Member of the National Board of Directors: Year
Officer of a Chapter: Year or
Member of a Chapter's Board of Directors: Year

Position: Board of Directors (Three Year Term): These positions require that the nominee has served as any one of the following and you must state the year served.

Delegate to the National Meeting: Year
Officer of a Chapter: Year or
Member of a Chapter's Board of Directors: Year

Position: Foundation Board of Trustee (Three Year Term): The nominee must be a member of the Foundation donor category Ibn Al Nafis Fellow ($5,000-$9,999) or greater. These positions require that the nominee has served as any one of the following and you must state the year served.

Member of the National Board of Directors
National Officer of NAAMA: Year or
President of a Chapter: Year

Please submit this form by July 20, 2011.