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
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Name of Candidate *
Candidate's Title * Candidate's Company Name * Industry Sector with Sub-categories * -Select an Industry Sector with sub-category where applicable- Academia: Education, Schools Aerospace Armed Forces Art Authors Business Support Services: Accounting Business Support Services: Advisory Services Business Support Services: Advertising/Marketing, PR Business Support Services: Corporate Boards Business Support Services: Executive Search Business Support Services: Human Resources Business Support Services: Insurance Business Support Services: Investor Relations Business Support Services: Operation (Outsource Resource) Consumer Products: Producer (Food/Beverages) Consumer Products: Distributor (Food/Beverages) Consumer Products: Retailer (Food/Beverages) Consumer Products: Producer (Dry Goods) Consumer Products: Distributor (Dry Goods) Consumer Products: Retailer (Dry Goods) Engineering/ Architecture: Architecture Design Engineering/ Architecture: Construction Engineering/ Architecture: Engineering Engineering/ Architecture: Infrastructure Engineering/ Architecture: Landscape Design Entertainment: Film Entertainment: Music Entertainment: Sports Entertainment: Theater Entertainment: Television Finance Services: Accounting Finance Services: Advisors Finance Services: Banking (Retail, Investment, Commercial) Finance Services: Financiers/Investors Finance Services: Insurance Hospitality: Amusement Parks, Venues, Contractors Hospitality: Event Planning Hospitality: Hotels Hospitality: Restaurants Hospitality: Tourism Legal: Attorneys Legal: Judges Media: Broadcast Media: Journalists Media: Print/Digital Medicine: Healthcare Specific Medicine: Practitioners Medicine: Researchers Museums Politics & Support Services: Appointed Officials Politics & Support Services: Civic/National/Global Leaders Politics & Support Services: Elected Officials Politics & Support Services: Lobbyists and Advisors Politics & Support Services: Municipal/State/National Government Publishing Public Sector Services: City/County/State Agencies Public Sector Services: Law Enforcement Public Sector Services: Transportation Public Sector Services: Utilities Real Estate and Real Estate Services Sciences: Biology, Chemistry, Zoology Social Services: Associations/Unions Social Services: Civic/National/Global Leaders Social Services: Foundations Social Services: Nonprofit Social Services: Platforms for Public Policy and Cultural Exchange Spiritual Technology: Biomed Technology: Biopharma Technology: Biotech Technology: Information Technology (IT) Technology: Telecommunications Technology: Specific Candidate's Profession * Candidate's Home Address
Candidate's Work Address
* Date Candidate Began Working in her Position at Current Business/Organization? * Candidate's Phone Number * Candidate's Phone - Indicate Which One * -Select- Home Office Mobile Candidate's Email *
Candidate's Age (use age range if exact age unknown) * Sponsor Name *
Sponsor Phone Number * Sponsor Phone - Indicate Which One * -Select- Home Office Mobile Sponsor Email *
A Co-Sponsor is not required, however it can be helpful when the nominee is being vetted by the Membership Committee. If you have a co-sponsor, she MUST provide a recommendation letter describing how she knows the candidate and the ways in which she meets the criteria, and it must be submitted prior to the nomination due date (06/30/22) in order to be considered. Please send the recommendation letter to email@example.com.
Co-Sponsor's Phone Co-Sponsor Phone - Indicate Which One -Select- Home Office Mobile Co-Sponsor Email
Co-Sponsor #2 if applicable. If you have a co-sponsor, she MUST provide a recommendation letter describing how she knows the candidate and the ways in which she meets the criteria, and it must be submitted prior to the nomination due date (06/30/22) in order to be considered. Please send the recommendation letter to firstname.lastname@example.org.
Co-Sponsor #2's Phone (if applicable) Co-Sponsor #2 Phone - Indicate Which One -Select- Home Office Mobile 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. Indicate whether you know your nominee and if so, explain. * In what field or industry is this candidate preeminent? Describe the factors that make them preeminent. * Indicate Diversity Category (examples include: ethnicity, race, professional field, cultural background and locale.) * Comment on the size or scale of the organization that your nominee leads so that we may obtain a sense of the scope and impact of responsibilities. * Describe her sphere of influence beyond her own profession or field. (For example - board positions both profit and nonprofit and community involvement): * Describe how the candidate would enhance our membership. * Please comment on whether you think the candidate would participate in Trusteeship events and programs. * Is there any other point of clarification you would like to add in support of the candidate's qualifications and achievements? * Are there other members who know the candidate and/or their profession/industry? * Attach photo of Proposed Candidate Accepted file types: jpg, png, gif, Max. file size: 2 MB. 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. Attach articles that are available and would provide salient information on the nominee. Add links below. * Comments
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