SHTA Board Postulation Form

Full name *

Current position *

Company name *

Type of business *

Company address

Email *

Phone *

Member since *Select year

Upload your picture *

Educational background

Biographical information *

Work and other relevant experience, attach additional sheet below if necessary.

File Upload

Candidate statement

Not to exceed 150 words. Include reason for seeking election or re-election and commitment if successful.

Extra information We will follow up with the companies and confirm the endorsements.

Endorsements *

Please provide us with at least 3 endorsements. State full name, company, email and phone number.