Nomination Form Nomination for your name to be placed on the ballot for election to the Friends of Koreshan State Park *Executive Board for a two-year term. FORM MUST BE SUBMITTED NO LATER THAN SEPTEMBER 31, 2019. Nomination Form If you are human, leave this field blank. Name * First Last * Last Email * Phone * Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal I am either currently on the Friends of Koreshan State Park Board of Directors, or an Individual or Family level Friends member, and would like to be considered for: President Vice President Treasurer Secretary *If elected as a member of the board or executive board, I will strive to attend monthly meetings (currently held the second Tuesday of each month @ 3pm in the park) for the duration of my two-year term. * Yes reCAPTCHA Submit Share Us With Your Friends!