Associate Member Board of Directors Nomination Form

The associate members shall elect an associate director from the associate membership during the annual conference. Each associate director shall serve a three-year term. These associate directors shall represent the associate members at Board of Directors' meetings, conveying their concerns, views, and ideas for the further enhancement of the association. No associate director shall vote or hold office. There is one position open for election this year, currently held by Richard Burch of Midwestern Engineers Inc.

The election will be held by an electronic survey sent via email to all Associate Members of the Alliance. The newly elected director will be announced on the last day Fall Conference during the Annual Membership Meeting.

If you are interested in having your name on the ballot to be considered for a position as Associate Director, please fill out the nomination form below, no later than 10/3/23.

Name (First & Last)

Company Name

Address

Email

Direct Phone Number

Please tell us why you are interested in being an Associate Board Member for the Alliance (we will include this on the voting survey)

If elected to the Alliance of Indiana Rural Water Board - I agree to attend meetings / serve on committees / etc.

YesNo

Security Code

Enter the code shown above in the box below.

Associate Board Member Nomination Form

Associate Member Board of Directors Nomination Form