IWIRC 2026 Board of Directors Nomination Form

IWIRC 2026 Board of Directors Nomination Form

Due September 15, 2025
Name *

First NameLast Name
E-mail *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Profession*

LawyerFinancial AdvisorGovernment (judge/law clerk)Other
IWIRC Network*
Number of Years in the Insolvency Profession*
Number of Years as IWIRC Member*
Board Role
A description of the Board Roles listed below can be found here.
I would like to make a nomination for one or more of the following positions (note "*" are non-voting positions)*

Vice-Finance Director (Executive Committee)Asia Networks DirectorAsia Regional DirectorCanada Regional DirectorCaribbean Regional DirectorEurope Networks DirectorEurope Regional DirectorLatin American Regional DirectorInternational Programs Co-DirectorU.S. Networks DirectorGlobal Networks DirectorMember Services DirectorNew Network and Regional Development Co-DirectorU.S. Program Committee Co-DirectorCommunications Co-DirectorDiversity, Inclusion & Belonging Co-DirectorStrategic DirectorAt-Large Director (6 slots available)*Vice Director of Fall Programs*Vice Director of Spring Programs*Vice Director of Regional Programming*Vice Director of Budget & Analytics*Vice Director of Member Services*Asia Regional Vice Director, Programming*Asia Regional Vice Director, Membership*Vice Director of Social Media*Vice Director of News*UNCITRAL Committee Co-Director
I would like to be considered for any open position.*

YesNo (I would only like to be considered for the positions selected above)
If you have a strong preference for one particular position, please indicate why here.
Is there any position you would NOT like to hold?
If you are selected to serve on the Board, please describe what you would like to work on this term.*
Current & Past Leadership Roles

List any roles you have served on the IWIRC International Board.

	Board Position	Year(s) Held
1)
2)
3)

List any committees you have participated in at the International level.

	Committee Name	Year(s)
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*

List any leadership roles you have held at the Regional and/or Network level.

	Leadership Position	Year(s) Held
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*

Please list applicable leadership roles outside of IWIRC.

	Organization Name	Leadership Role/Position Held	Year(s) Served
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*
Please share any additional relevant information about why you should be selected to serve on the IWIRC Board for 2026.

Please list a reference familiar with your involvement in IWIRC.

	Name	Firm	Email	Subject (what reference would speak to, i.e. your service on a particular committee or board position)
1)
2)

Certifications
I certify that I am currently a member in good standing and will continue to be through 2026. (You may verify your renewal date by logging in to your account on iwirc.com.)*

YesNo
I certify that I have reviewed the job descriptions and requirements for the board position(s) I am seeking and understand the time commitment required.*

Clear
Date*

MonthDayYear
Date
Should be Empty:

IWIRC 2026 Board of Directors Nomination Form

Board Role

Current & Past Leadership Roles

Certifications