Director Nomination Form

VRWA is governed by a Board of Directors. Directors are representatives of VRWA-member water-wastewater systems and they are elected to the board for three-year terms by the membership. VRWA's board meets quarterly. For more infomation on our current board click here, or see our bylaws.

Nominations can be made only by representatives of current VRWA-member systems. Self-nominations are allowed and common.

Fill out the form below and press the submit button to enter your nomination. Nominations for election must be received by the VRWA Administrative Office no later than January 31.

Nominee Contact Information

Name of Nominee:
VRWA-Member System that Nominee Represents:
Address:
City:
State:		Zip:
Phone:		Fax:
E-Mail:
Web:

Nominee Qualifications:

Please list any relevant work experience, licenses, certifications, awards, committee or board work, academic credentials or other qualifications.

Nominee Statement:

Why is the nominee interested in becoming a VRWA Director?

Your Information

Your Name:
VRWA-member system that you represent:
Your Phone:

Enter the two words displayed into the box below:

Items in bold are required.