Membership Nomination Form | The Trusteeship

Please respond to the questions thoroughly and add any anecdotes that will aid the Committee in reviewing your candidate. To view the new member nomination criteria, please click here. Please note that you MUST click "Save and Continue Later" at the bottom of the page to return to this application. Asterisks are next to all of the required fields.

Today's Date

Sponsor Name*

First Last

Sponsor Phone Number*

Sponsor Phone - Indicate Which One*

Sponsor Email*

Name of Nominee*

First Last

Nominee's Title*

Organization where they are currently employed*

What industry sector? (see below for list)*

Length of time in their current role*

Nominee's Home Geographic Location

City State ZIP Code

Nominee's Work Geographic Location

City State ZIP Code

Nominee's Phone Number

Nominee's Phone - Indicate Which One

Nominee's Email*

Nominee's Age (use age range if exact age unknown)*

If you have a Co-Sponsor for this nominee, please ask the co-sponsor to submit a letter describing how she knows the candidate and the ways in which she meets the criteria, especially preeminence, as well as her sphere of influence in the nominee’s field. Please send the recommendation letter to admin@thetrusteeship.org

First Last

Co-Sponsor's Phone

Co-Sponsor Phone - Indicate Which One

Co-Sponsor Email

Co-Sponsor #2 if applicable.

First Last

Co-Sponsor #2's Phone (if applicable)

Co-Sponsor #2 Phone - Indicate Which One

Co-Sponsor #2's Email (if applicable)

Please answer the following questions expansively. Do not limit yourself to the space provided. A letter may be attached.

Help our committee by explaining how you think the nominee meets our requirement of being preeminent in their field? (Ex. as a lawyer, this nominee is keynote speaker at well-regarded conferences, she is also responsible for a key lawsuit that changed law in CA, etc.)*

Describe the size of the company or organization that the nominee is employed with (or is the reason that you are nominating them). Please address, what role does the nominee play in moving the agenda for the organization – we are looking for their leadership stature (please include data including approximate # of employees, geographical scope of their company/role etc.)*

Influence in the field – outside of their primary Organization:

Describe their sphere of influence beyond her primary organization (board positions in profit and nonprofit organizations; other leadership involvement such as launching a successful initiative that has a large statewide or national impact and community involvement; straight-line access to information and people that our membership could benefit from).*

Describe how the candidate could help us meet our diversity criteria (examples include: ethnicity, race, professional field, cultural background and locale.)*

How do you know this candidate?*

Are there other Trusteeship members who know this candidate?*

Attach any links or additional information that will help the committee evaluate this candidate.*

Attach photo of Proposed Candidate

Accepted file types: jpg, png, gif, Max. file size: 2 MB.

Links to Candidate's official Bio or CV (either cut and paste document here or attach using the File Upload button below)*

File Upload: Attach Bio or CV if not cut and pasted above

Drop files here or

Accepted file types: jpg, png, pdf, doc, xls, Max. file size: 64 MB.

Name

This field is for validation purposes and should be left unchanged.