Page 1 of 2

Board of Direc­tors Nom­i­na­tion Form
  1. Wisconsin ASCD Board of Directors Self-Nomination

    (Dead­line: April 1st)

  2. Please select all that apply








    Invalid Input
  3. Describe the pro­fes­sional skills and qual­i­ties you will con­tribute to the mis­sion and vision of WASCD:
    Invalid Input
  4. Describe how you have been involved in WASCD or have the pro­fes­sional char­ac­ter­is­tics to sup­port WASCD’s mis­sion and vision:
    Invalid Input
  1. The infor­ma­tion on this form will be shared with WASCD Board mem­bers. The Board selects mem­bers based on the infor­ma­tion pro­vided and demo­graphic needs.

  2. Name(*)
    Please input your name.
  3. District/​Organization
    Invalid Input
  4. Job Role(*)
    Invalid Input
  5. Pre­ferred Address
    Invalid Input
  6. Address(*)
    Please input your address.
  7. City(*)
    Please input your city.
  8. State(*)
    Please input your state.
  9. Zip Code(*)
    Please input your zip code.
  10. Phone(*)
    Please input your phone number.
    For­mat: 5555555555
  11. Email(*)
    Please input your email address.
    Con­sider giv­ing us a per­sonal e-​mail (ie gmail, yahoo, etc) in order to avoid dis­trict spam filters.

ascd logo

ASCD School Improvement Tool

dpi logo

Registered User Login