Seeking the office of: _____________________________________             Pres     VP     Sec/Trea
 

Remarks:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

I am committed to carrying out the duties of this office.

___________________________________________                         ____________________
                               signature                                                                                date

The above student is in good standing at the Center. (See list of qualified staff, Handbook, page 4.)

staff #1 signature:  ___________________________________________

staff #2 signature:  ___________________________________________

Please return this form to your Center Math teacher in Smith Hall no later than 2:30 pm on Friday October 15, 2010.

• e-mail: calkins@andrews.edu
• voice/mail: 269 471-6629/ BCM&S Smith Hall 106; Andrews University;
• classroom: 269 471-6646; Smith Hall 100; Berrien Springs, MI, 49104-0140
• home: 269 473-2572; 610 N. Main St.; Berrien Springs, MI 49103-1013
• URL: http://www.andrews.edu/~calkins/math/forms/nomina.htm
• Copyright ©1999–2010, Keith G. Calkins. Revised on or after September 29, 2010.