COGA MIG Volunteer Leaders Application
Preferred Name (to appear on the ballot)
Professional Certification (if applicable)
Academy Member Number
Are you a current COGA MIG professional member with an Active, Retired or International member category?
Cell Phone Number
Which position(s) would you like to be considered for?
Nominating/Awards Committee Chair-Elect
House of Delegates (HOD) MIG Delegate
Membership Committee Chair
Networking Committee Chair
Highlight your Academy, COGA MIG and/or dietetics-related professional activities and/or leadership roles within the past 5 years.
Indicate why you are interested in a COGA MIG Executive Committee position.
Describe your top two qualities that will help you be successful in this position.
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.
Should be Empty: