Board Nomination App

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Board of Directors Nomination Form

Please use this entry form to nominate an individual (other than yourself) to be placed on the Board of Directors ballot. To nominate yourself, click here.

* Indicates required field

Your Name *

First

Last

Your Company/Organization Name *

Your Email *

Your Phone Number *

Is nominee able and willing to accept the nomination? *

Yes No Not Sure

If called upon, would you be willing to provide a statement of support for your nomination? *

Yes No Unsure

Nominee Name *

First

Last

Nominee Company/Organization Name *

Nominee Email *

Nominee Phone Number *

Known Qualifications *

Please indicate any committees the nominee has served on and/or chaired, and if they are a Leadership graduate.

Demographics: Age Range *

Demographics: Gender *

Demographics: Race *

White Black or African-American American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Other

Demographics: Ethnicity *

Hispanic, Latino/a/x or Spanish Origin Non-Hispanic, Latino/a/x or Spanish

Areas of Expertise *

Administration/Management Computers/IT Entrepreneurship Investments Human Resources Public Relations Real Estate Accounting/CPA Financial Management Government/Politics Law Strategic Planning Tech/Science Banking/Trusts Engineering Fundraising Graphic Design Marketing Physical Plant Website Design

Personal Style and Interpersonal Skills *

Leadership Strategist/Strategic Thinker Challenges the Assumptions Overcomes Adversity Advocate Generalist Tactical Thinker Copes with Risk Taking Thinks Outside the Box Visionary Detailed Conciliator and Bridge Builder Collaborator Problem Solver Planner

Other Expertise (Please Describe) *

Community Connections *

Business Political Community Volunteer Media Philanthropy Civic & Professional Affiliations

Upload CV/Resume *

Max file size: 20MB

Upload CV or Resume of your nominee, if available.

Submit

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