This online form will be used in place of CHEA Form 1002A for the 2020-2021 Term of Office. Complete the information and click submit – the content will be immediately emailed to our Executive Assistant, Charisce.

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.