Please fill out as much of this form as possible. Don't be modest because your peers will be voting for the athlete they think is best qualified.

Please note: Due to CSI Bylaw imposed limitations based on club affiliation, multiple athletes from the same club may be nominated however only one (1) athlete per club may serve on the Board of Directors.  If multiple athletes from the same club are on the ballot, the athlete with the most votes will be counted and subsequent athletes will not be counted.

By submitting this nomination, I agree that if elected I will remain a CT Swimming member for 2 consecutive years, reside in the CT Swimming area, and attend Board of Directors meetings.* Yes No

Name:*

Email:*

High School:

Age:*

Club:*

Number of years involved in swimming:

Scholastic Honors:

If yes, how many years:

Extra Curricular Activities:

What are you Running?

Why should you be elected?

Parents or Guardian Name:*

Email:*

(What is this for?)