On behalf of the 2014 TPWA Nominating Committee, Mr. Tim Tumulty, Chair, is
seeking nominations for the 2015 Board of Directors and Committee Chairs. Please take
a moment to nominate (include self-nominations) a deserving individual. Nomination
forms may be sent directly to Mr. Tumulty at ttumulty@rockwall.com
Texas Chapter Board/Committee Leadership
Application Form
Deadline
May 1
Position Desired
Candidate Information
Name
Title
Agency/Organization
Address
City
Phone
TPWA Experience
Branch Affiliation
State
Fax
Zip Code
E-mail
Member since:
Branch
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Office Held
Year
Chapter
Committees
Please list any other leadership positions within any organization that you feel qualify
you for the position.
Signed
Please attaché resume outlining your professional positions, responsibilities and accomplishments.
Date