Text Box: WALA
Board & Officer Nominations
Text Box: Please Print and Complete the following and mail , e-mail, or fax 
Forms must be received by January 10, 2008 to:
 
WALA Nominations Committee
Darlene Quayle, Chair
P.O. Box 4596
Bremerton, WA.  98312-0403
FAX:  360-405-6992
walakids@comcast.ent
 
 
(Please Print or type)
Position You Are Seeking: ___________________________________________________________________
 
First Name ________________________ Last Name______________________________________________
 
(HOME)  Mailing Address  ___________________________________________________________________
 
            City _______________________________________________ Zip ___________________________
 
            Phone (         ) _____________________________  Cell  (         ) ___________________________
            
            FAX:   (         ) __________________________  e-mail ____________________________________
 
(WORK)  District: _________________________________________________________________________
 
            Position: _________________________________________________________________________
 
            Work Location:   ____________________________________________________________________
            
            Mailing Address: ____________________________________________________________________
 
            City       ______________________________________________  Zip _________________________
 
            Phone (         ) ______________________________  Cell  (         ) ___________________________
            
            FAX:   (         ) __________________________  e-mail _____________________________________
 
            WALA will notify your district of your intent and ask for their support as you fulfill your responsibilities
 
Superintendent/Principal’s Name __________________________________________________
 
            Superintendent/Principal’s Address ________________________________________________
 
                                                   City/State/Zip  _________________________________________________
 
                                                    Work Phone   _________________________________________________