2021 Faculty/Staff Trustee Nomination Form

Instructions

Any member of Omicron Delta Kappa is permitted to submit the name of an inducted member who serves as a faculty or staff member to be considered for election to the position of Faculty/Staff Trustee on the Board of Trustees of the Omicron Delta Kappa Society and Educational Foundation, Inc. Retired faculty/staff members may be nominated as well. The nominator must complete this form. Please note that many of the fields are required.

The nominated individual will receive an email with instructions on completing the full application.

If you are a faculty or staff member and wish to nominate yourself, do not complete this form. Go directly to the application form at this link: https://odk.org/faculty-staff-trustee-application/.

Nominations and completed applications must be received by 11:59 p.m., March 15, 2020.

Nominee Information

Nominee Name *

Institution (Circle) of Initiation *

Nominee Address

Please provide mailing address information if possible.

Apt, suite, etc.

Country

City

State

Zip code

Nominee Email *

Statement of Nomination *

Please provide a statement explaining why you believe this individual would be an asset to the Board of Trustees and the Society. You may want to refer to the call for nominations page (https://odk.org/about-odk/governance/faculty-staff-trustee-information/) before completing this nomination.

Nominator Information

Nominator Name *

Nominator Email *

Nominator Phone *

Captcha *

reCAPTCHA is required.

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