State of Alabama - Office of Governor Bob Riley

Applications and Recommendations: Recommendation for Appointment

Please complete the form below to nominate someone for the Governor's consideration for boards or commissions. This form is not to be used to apply for a board or commission. This form is only to recommend another person for an appointment. If you would like to apply for a position, please complete the Appointee Application.

This form is intended for the recommendation of individuals to be appointed to boards and commissions, not to schedule the governor to attend a meeting or event. If you would prefer to submit an invitation for a meeting or event, please use the Meeting-Event Request Form. If you would prefer to submit a message to the Governor, please use the Contact the Governor Form.

Please note that certain fields are required before the email will be sent. Please note that the form may not submit correctly if using older web browsers. If you experience any problems, upgrade your browser to the latest version or go to the Contact page for additional contact options.

Salutation: (Required)	Your First Name: (Required)
Your Middle Name:	Your Last Name: (Required)
Email Address: (Required)	Phone Number: (Required, including Area Code) ( ) - - Business Phone Number: ( ) - -
Street Address: (Required)
City: (Required)	State: (Req)	Zip Code: (Req)
Organization:	Title:
Please note: Do NOT enter your information below, but the information for the person whom you are recommending. Candidate Full Name: (Required)
Street Address:
City: (Required)	State:	Zip Code:
Email Address:	Phone Number: (Required, including Area Code) ( ) - - Business Phone Number: ( ) - -
Board, Commission or other appointment: NOTE: to select more than one organization hold down Control key when clicking. "Other" selected for above, enter the name of the Board or Commission: Reason for recommendation: What specific qualifications and/or expertise do you think this person will bring to the position:
Please ensure you have filled in ALL required fields before submitting. If this form does not submit, please scroll up the page to see missed fields.