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Governance Candidacy Form
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Governance Candidacy Form
Nominee's name
*
Please give your name or that of the person you're nominating.
Name of person completing this form
If different from above.
Nominee's job title and institution
*
Nominee's preferred telephone number
*
Nominee's preferred email address
*
Nominee's ALA membership number
*
Number of years nomine has been a YALSA member
*
For which position are you nominating this member?
*
Board member at large
Fiscal officer
President-elect
Division Councilor
Please list participation in any ALA, YALSA, or state-level committees.
*
Please list participation in any boards, committees, or groups relevant to the elected position the nominee is seeking.
Please describe in detail the contributions that the nominee made to the groups listed above.
*
Please discuss the nominee's leadership skills and experience.
*
Please describe in detail any association or nonprofit governance experience that the nominee has:
*
Please summarize the nominee's significant accomplishments, awards, or recognition.
*
Include honors, publications, presentations, leadership roles, etc.
What specific skills or attributes will the nominee bring to YALSA's Board of Directors?
*
E.g., grant-writing experience, marketing, strategic planning, research, fundraising, etc.
Personal statement
*
Please describe why you believe this individual would be a fitting candidate for this position.
Is the nominee also running for an award committee position with YALSA or another ALA Division?
*
No
Not Sure
Yes
If yes, please specify
Tell us which awards committee the nominee is planning to run for
Does the nominee have any known or perceived conflict of interest that would impact their eligibility to serve on the board?
*
No
Not Sure
Yes
Please review the Board Conflict of Interest Disclosure Statement at http://www.ala.org/yalsa/aboutyalsa/yalsahandbook/boardcoip.
If you said yes, please specify your conflict
