This online form will be used in place of CHEA Form 1002A for the 2023-2024Term of Office. Complete the information and click submit – the content will be immediately emailed to our Executive Assistant, Julie.

Trustees to be elected this year are from the following underlined districts:

  • Bay – Hawaii & Northwest
  • Central & East Central
  • Northeast & Inland
  • Metropolitan and & San Gabriel Valley
  • North and North Central
  • South Coast and Orange Coast
  • South and Southeast
  • South Central and & South Central Coast
  • West Central Coast and West Central

    Your Name Your Email

    Vice-President Nominee

    Select the District:

    District Presents Name Of (VP Nominee) : Spouse:

    Lodge:

    Address:
    City:
    State:
    Zip:
    Residential:
    Business:
    Cell:
    Fax:
    E-Mail:

    Trustee Nominee

    Name:
    Spouse:
    Lodge:

    Address:
    City:
    State:
    Zip:
    Residential:
    Business:
    Cell:
    Fax:
    Email:

    Name of District Leader: of District
    will present the above named individual for TRUSTEE for the (Select District): District.