NCCHC | CCHP Certification

CCHP Board of Trustees

THE 2011 CALL FOR NOMINATIONS IS CLOSED.

NOMINATION FORM

Please make your nomination by July 1, 2011.

Nominee
Place of Employment
City, State
Daytime Phone
E-mail Address

If available, please submit a copy of the nominee's resume or CV (no more than 2 pages) to cchp@ncchc.org or paste it in the box below.
Nominator
Daytime Phone
E-mail Address

Nomination Statement In submitting this form, I hereby nominate the above named Nominee to serve a three-year term on the CCHP Board of Trustees. Agree Disagree

Direct questions to the Certification Coordinator at cchp@ncchc.org.