Nominating Form

Nominator Name *

First

Middle

Last

Nominator Email *

Is this a self-nomination? *

Name of Nominee to a SACRPH position: *

First

Middle

Last

Nominee Email *

Nominate this person for which position(s): *

Nominee Institution or Organization *

Nominee Department or Field (e.g., City Planning, Architecture, History, etc.) *

Nominee Title (e.g., Assistant Professor, Senior Planner, PhD Candidate, etc.) *

Nominee's Potential Contributions to SACRPH *

Please provide a sentence or two on how this individual could likely contribute to the leadership of the organization.

SACRPH Nomination Form