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VBSR Board of Directors Nomination Form
This is a form to nominate individuals for consideration to serve on the VBSR Board.
Please complete the form to the best of your ability. If nominating someone other than yourself, please contact the nominee to verify their interest and gather the information requested below.
Information on eligibility, criteria and the nomination process is available at: http://vbsr.org/get_involved/committees/nominating_committee/
Your Contact Information:
Your Name:
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Your Company/Organization:
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Your Title:
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Town your Company/Organization is located in:
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Your Email Address:
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Your Phone Number:
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Nominee's Contact Information:
If this is a self-nomination, please write in "self" for the boxes in this section.
Nominee's Name:
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Nominee's Title:
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Nominee's Company/Organization:
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Town Nominee's Company/Organization is located in:
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Nominee's Email Address:
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Nominee's Phone Number:
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Nominee's Gender:
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Female
Male
Other
About the Nominee:
Briefly describe the nominee's business:
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What is this person's role or primary work function?:
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How many employees work in the nominee's business or organization?:
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Describe the nominee's participation in VBSR (Events they attended, committees they have served on, activities they have supported, how long nominee has been a member, etc):
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List other community activities or associations that the nominee is active in, including other Boards of Directors:
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What unique skills and qualities does the nominee offer as a VBSR Board member?:
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Does the nominee want to be considered for a "traditional" or an "at-large" seat on the board?
Nominees for traditional seats are vetted by the Nominating Committee before they appear on the ballot. If selected for the ballot, these candidates do not compete with other candidates on the ballot.
"At-large" seats are not vetted by the Nominating Committee, so all nominees selected in this category appear on the ballot and they do compete with other candidates on the ballot.
Only decision-makers at for-profit companies with at least one employee are eligible for at-large seats.
Non-profit members are only eligible for traditional seats and must be a high-level decision-maker within their organization.
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At-large only
Traditional only
Either
If you are nominating someone else, your nomination is complete.
Questions for Nominee Only
If you are nominating yourself, please answer the following two questions and then submit below.
Why are you interested in joining the VBSR Board of Directors?:
Please include a 200-300 word bio:
Do Not Fill This Out