Volunteer to be Nominated to Run for EMS Elected Office

To: David DeMarini, Chair, EMS Nominating Committee:

I wish to be considered for nomination for election to the following EMS office:

EMS President-Elect
EMS Secretary
EMS Treasurer
EMS Council Member

These are my Qualifications for this office:

From:

Last Name*	First Name* Middle
Address*
Address
City*	State/Province* ZIP/PC*
Country*
Daytime Phone Number*	Fax Email*

Please note that information marked in red* above is required before the computer will accept your submission. Also note that the space above for your suggestion is essentially infinite in size even though only the upper left corner is revealed here.