Application for Nomination: President-Elect/President

The President–Elect will be elected on ODD calendar years and will serve a 6-year committment as described below.

The first 2 years as President-Elect (2025-2027), 2 years as President (2027-2029), and 2 years as Immediate Past President (2029-2031)

Candidates for President-Elect will have had at least 6-months experience serving on the MaMHCA Board (and/or committee) before being nominated for these offices.

Please note that nomination submission does not guarantee a position on the election slate.

Each officer shall be a member in good standing and shall have been so for at least one year previous to nomination. In addition, each officer must be a Massachusetts LMHC in good standing.

My Name *

My Email Address *

My Best Phone Number: *

This nomination is for: *

Self

Another individual

If you are nominating another individual, are they aware of the nomination? *

Yes

No, and I will inform them

N/A, I am nominating myself

Nominee information

Nominee (self or another): *

Nominee Email Address *

Street *

City *

State *

Zip *

Phone *

If Employed, where *

Is the person you are nominating a MaMHCA Member? *

Yes

Unknown

Has the person you are nominating for President-Elect served for at least 6 months on the MaMHCA Board or on a MaMHCA committee? [This is a requirement for this office] *

Yes

Unknown

Nominee LMHC License Number.
Copy and paste this link in your browser to look up license number: https://checkahealthlicense.mass.gov/ *

Nominee qualifications for office: *

"This Committee shall take into consideration the individual’s qualifications for office, geographical location, the nominee’s fields of interest and have the nominee’s consent; and make recommendations to the full board." - MaMHCA Bylaws, September 2021

Thank you for your nomination. The Nomination Committee will be in touch between April 1 and April 15.