Nomination for Board Position
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Company name
*
Company type
*
Please Select
Life Sciences
Technology
Service Provide
Company address
*
Address 1
Address 2
City
State
Zip Code
Company description
*
limit to 100 words -
0/100
Please submit your reasons for seeking a position on the Maryland Tech Council board of directors. Include the contributions you believe you would be able to make in the position sought and any other information you feel may be useful in evaluating your application(maximum 500 words).
*
limit to 500 words -
0/500
Do you serve on any other Boards?
*
Yes
No
If yes, please list
*
Please upload your BIO including a headshot picture
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of
Applicant’s Acknowledgement of Director Expectations.
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