EmailMe Form - Candidate Consent Form

Your Name *

First Last

Email *

Please include all contact information so that your nomination can be validated.

Phone *

### - ### - ####

Please include all contact information so that your nomination can be validated.

Date Time *

MM / DD / YYYY

Include the date that you are submitting this form.

Membership Number (if known)

Please enter your membership number if known.

Office you consent to serve as a candidate for: *

I, (listed above) consent to serve as a candidate for (selected above) office of or at-large Executive Committee member of the Branch. If elected, I agree to serve and abide by the policies, principles and procedures of the NAACP. I agree to complete Executive Leadership Training. For the purpose of serving as a candidate for an elected office I affirm that I have been a bona fide member of the Branch as of May 1, that my membership has remained continuous, and that I live and/or work within the jurisdiction (Chapel Hill and Carrboro) of the Branch. *

Clear

Please sign using your mouse or touchscreen.

I understand that I need 3 members in good standing to complete a nomination form on my behalf if I am consenting to nomination by petition. That form can be found at: https://tinyurl.com/chcnom20 *

Yes