Wufoo
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 and criteria for VBSR's Board of Directors is available at: https://vbsr.org/nominate-for-vbsr-awards-or-board/. Information on the election process is available at https://vbsr.org/board-directors-election-process/.
SECTION 1: NOMINEE'S CONTACT INFORMATION
Nominee's Name:
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Nominee's Company/Organization:
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Nominee's Title:
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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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SECTION 2: NOMINATOR CONTACT INFORMATION
If this is a self-nomination, please write in "self" for the boxes in this section.
Your Name:
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Your Company/Organization:
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Your Title:
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Your Email Address:
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Your Phone Number:
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SECTION 3: 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 have 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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Do Not Fill This Out