NOBIDAN MIG Volunteer Leaders Application
Name
First Name
Middle Name
Last Name
Preferred Name (to appear on the ballot)
First Name
Last Name
Credentials
Professional Certification (if applicable)
Academy Member Number
Are you a current NOBIDAN professional member with an Active, Retired or International member category?
Yes
No
Email
example@example.com
Cell Phone Number
-
Area Code
Phone Number
Which position(s) would you like to be considered for?
Chair-Elect
Treasurer
Nominating Committee
HOD Delegate
Highlight your Academy, NOBIDAN and/or dietetics-related professional activities and/or leadership roles within the past 5 years.
0/200
Indicate why you are interested in a NOBIDAN Executive Committee position.
0/200
Describe your top two qualities that will help you be successful in this position.
0/200
Please upload your brief bio and CV/resume'. If selected for nomination, you will also be asked to provide a current photo/headshot for promotional purposes.
Upload File
Cancel
of
Save
Submit
Should be Empty: