Maine Society for Respiratory Care

2015 MeSRC Board of Directors
Nomination Form

Please nominate someone you know to be on the 2015 MeSRC Board of Directors. 

Deadline for nominations is August 31, 2014.

All nominees must be an AARC member in good standing at the time of nomination.

Only nominations made by AARC members will be accepted.

If you have questions about the MeSRC, please feel free to contact a board member today!

First Name:
Last Name:
Phone Number:
Email Address:
AARC Number:
Place of Employment:
  President Elect (3 yr commitment - 2015 thru 2017)
  Secretary (2 yr commitement - 2015 & 2016)
  Board Member at Large (1 yr commitment - 2015)
   
Your Name & AARC Number: *
Comments:



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