Providence Portland Medical Center Leadership Nominations

Providence Portland Officer Nomination & Consent to Serve Form

If you are interested in being appointed to an open leadership position because of a mid-term vacancy, please complete the form below.

View the PPMC BU bylaws for full descriptions of each position and their requirements.

Providence Portland Officer Nomination & Consent to Serve Form

Nominee Information
Position *	Chair Vice-Chair Secretary Treasurer Communications Chair Grievance Chair Chief Steward Membership/Organizing Chair PNCC Chair Staffing Committee Liaison PNCC Member (8 seats)
Please provide your name below.
Your Name *
Email Address *
Unit
Phone Number
Consent to Serve *	I consent to serve and authorize being placed on the ballot.