Louisiana Phi Beta Lambda

State Officer Candidate Nomination Form

The Chapter of ___________________________________ nominates the following (please print)

Chapters should include nominees credentials and qualifications when submitting this form. Please place an X preceding the Office. All Nominations should attach the application, a letter of recommendation and nominees resume to this form. Address the recommendation letter to Louisiana PBL State Chair Jo Schexneider.

President Vice-President Secretary/Treasurer Reporter Historian

Nominees Signature Nominees Signature Nominees Signature Nominees Signature Nominees Signature Jo Schexneider 5827 Common Street Lake Charles, LA 70607 mjoschexneider@suddenlink.net

Please complete (type or print) this form and return by March 5, 2012 to: You may also scan to a PDF and email the information to: