Suggested Candidate Form for Songwriters

Suggested Candidate Form for Songwriters

for The MLC Board of Directors and Statutory Committees
Your Full Name*
Your Email Address*
Are you recommending someone other than yourself?*

I am recommending myselfI am recommending someone else
Is the suggested candidate aware that they you are nominating them?

YesNo
Suggested Candidate's Full Legal Name*
Suggested Candidate's Alias (if applicable)
Suggested Candidate's Email Address*
example@example.com
Suggested Candidate's Phone Number*

Area CodePhone Number
Suggested Candidate's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Suggested Candidate's Publishing Status*

Self-PublishedPublished by a third-party publisher
Suggested Candidate's Current Publisher
Suggested Candidate's Self-Publishing Company Name (if any)
Short Biography of Suggested Candidate*

Fewer than 500 Words0/500
Suggested Candidate's Notable Compositions*
Qualifications/Reasons Suggested Candidate Should be Considered*

Fewer than 500 Words0/500
Anything else you would like the Committee to know?

Fewer than 300 Words0/300
Positions for which suggested candidate would like to be considered*

Board of DirectorsDispute Resolution CommitteeUnclaimed Royalties Oversight Committee
Please note that suggested candidates for the Board of Directors must be self-published songwriters
Should be Empty: