Board Nomination Form
Nominee Information
Full Name
Email
Phone Number
Profession/Occupation
Organization (if applicable)
Nominee Qualifications
Relevant Skills, Experience, & Expertise
Why is this nominee a good fit for the Board?
Diversity and Representation
How does this nominee contribute to the diversity and representation on the Board?
Nominator Information
Your Name
Your Email
Relationship to Nominee
Additional Comments
Comments