Board of Directors Candidate for Nomination

Board of Directors Candidate for Nomination
Candidate Name
Nominated By
Address
Phone
Email
example@example.com
Does the candidate for nomination have any current or previous Board of Directors experience?

YesNo
If yes, briefly detail that experience
What are the known strengths of this candidate for nomination?
What are the known skills of this candidate for nomination?
Does the candidate possess a working knowledge of:

AccountingBusiness and FinanceCommunicationsCooperativesLegislative RelationsPublic RelationsManagementSupervisory Experience
What value will the candidate bring to the Board of Directors if nominated and elected?
I attest that the information I've provided above is correct and true to the best of my knowledge.
Date

MonthDayYear
Date
Signature of Nominating Person

Clear
Should be Empty: