Nomination Form

Please fill in the information below to recommend a member for the ITS Florida 2024 Board of Directors. Self-nominations are welcome and encouraged.

***Note: If elected, your attendance is greatly encouraged at all of our including the face-to-face meetings.

First Name *

Last Name *

Member Organization *

Address

City *

State *

Postal Code *

Phone *

Email Address *

Please select a description that best fits the nominee's organization. *

Please select at least one of the Board position below:

	Please select at least one item
President - 1 Year Term	Please select at least one item
Vice President - 1 Year Term	Please select at least one item
Secretary - 1 Year Term	Please select at least one item
Treasurer - 1 Year Term	Please select at least one item
Director At Large - 2 Year Term	Please select at least one item

The recommended person’s agency is a member of ITS America. *

Yes

No

He/she certifies that he/she has the support of the employer to serve actively if elected. *

Yes

No

Please attached a 1/2-page (minimum, text & photo) bio/vision statement indicating service related to ITS—no later than 5:00 PM November 10, 2023. *