California State Rural Health Association's 2010 Ballot Form

California State Rural Health Association
Board of Director's Slate of Nominees
2010-2013 Term

BALLOT
DIRECTIONS: To vote for 2010-2013 board members, please complete the following three steps:

Step 1: Review each candidate's statement of interest and biography.

Step 2: Choose no more than Three separate candidates to the CSRHA Board of Directors. Candidates can be selected from any region or constituency. ONE candidate must be selected from the Central Region and TWO candidates must be selected from the Southern Region. Check the box next to the candidates of your choosing using this ballot.

Step 3: Complete and send your information by the June 3, 2010 deadline. Send this ballot electronically by clicking Vote! (You must include your name and organization on the ballot to have it counted).

Member Name (required)

Organization

(Note: Organizational membership provides multiple votes. The designated member for each organization will vote for its affiliate members. The total votes per organization will be calculated by the nominating committee.)

Candidates

CENTRAL CALIFORNIA REGIONAL POSITIONS (You must vote for ONE candidate in this category)

	Derrick J. Gruen Statement of Interest and Bio Associate Vice President Clinic Services Adventist Health
	John S. Alexander, MBA Statement of Interest and Bio Chief Executive Officer Livingston Medical Group
	Norma Forbes Statement of Interest and Bio Executive Director Fresno Healthy Communities Access Partners (HCAP)
	Salina Mendoza Statement of Interest and Bio Central Valley Policy & Field Coordinator California School Health Centers

SOUTHERN CALIFORNIA REGIONAL POSITIONS (You must vote for TWO candidates in this category)

Lynn Edwards
Statement of Interest and Bio
Director
Bear Valley Community Healthcare District

Judith Shaplin
Statement of Interest and Bio
CEO
Mountain Health and Community Services, Inc.

Sheilamarie Racicot
Statement of Interest and Bio
Licensed Marriage and Family Therapist/Director Prevention Program
Palomar Family Counseling Services