2023 Board Nomination Form

Please indicate area of candidate expertise that matches board of directors priority needs. Consideration to geographic location, diversity and gender will be made.(Required)
Max. file size: 128 MB.
Submitted by(Required)
MM slash DD slash YYYY
Has candidate been contacted to verify their interest in being nominated and serving on the board? (Note - nominator is responsible for contacting individual to validate their interest in serving on the board. You are not guaranteeing them a seat on the board, only validating that if voted in, they would be willing to serve.(Required)
Has candidate been interviewed by either nominating individual or another Board Member?(Required)