Elizabeth City State University National Alumni Association, Incorporated Election of Officers and Board of Directors Nomination Form Nominators should verify that the nominee satisfies the eligibility requirements contained in the Elizabeth City State University National Alumni Association’s Constitution and is a financial member of the NAA before submitting a nomination. The nominator must also be a financial member. NOMINATIONS MUST BE RECEIVED BY OCTOBER 15, 2012 NOMINATOR TO COMPLETE (A SEPARATE FORM MUST BE COMPLETED FOR EACH PERSON NOMINATED FOR EACH POSITION.) I, the undersigned financial member of the Elizabeth City State University National Alumni Association, Inc., wish to nominate ___________________________ as a candidate for the office of _____President _____ 1st Vice President _____ 2nd Vice President _____ Recording Secretary _____ Corresponding Secretary _____ Board Member Nominator’s Name: ___________________________________________________________________________ Street Address ___________________________________________________________________________ City/State/Zipcode___________________________________________________________ Signature ________________________________________ Date ______________________ MEMBERSHIP CHAIR TO COMPLETE I certify that the nominator is a graduate and a member in good standing with the national organization. I certify that the nominee is a graduate and/or member in good standing with the national organization and has been active in the association for at least three (3) consecutive years most recent to the nomination. ______________________________________ Signature / ECSU NAA Membership Chair ___________________________ Date