MdSNA Chapter Leadership Update Form

Please use this form to tell us who is in each position for the current school year. If you don't have a person in a particular position, just leave those boxes blank.

Chapter *

When does your President begin his/her term? *

President

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address

President Elect

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Certification Chair

First Name

Last Name

Email Address

Legislative Chair

First Name

Last Name

Email Address

Membership Chair

First Name

Last Name

Email Address

Thank you for helping us to keep MdSNA's records up-to-date!