Regional Leadership Academy: 
Nomination Form
Name of Nominator:
I am a 
Name of Nominee:

NEFRC Board member (current)
NEFRC Board member (former)
RCI member/RLA graduate
Current RLA Candidate
I discussed RLA with the nominee, and feel they understand the program (Required)
The nominee has confirmed their interest (Required)
The nominee’s resume has been e-mailed to
The nominee has the following questions, and they need to be contacted