NI DPG Election Interest Form
These elected positions are for the 2026-2027 DPG year.
Name
First Name
Last Name
Credentials
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Academy Member ID
Current Employment Position
Please select the position for which you would like to be nominated:
Please Select
President Chair Elect
Nominating Committee Chair Elect
Secretary
House of Delegates
Are you a member of the Nutrition Informatics DPG?
Please Select
Yes
No, but considering joining
No, not interested in joining
Do you currently hold or are you running for another elected position?
Please Select
Yes
No
Elected officers are required to attend, at minimum, their committee meeting and the NI DPG Executive Committee meeting each month, for approximately 1.5 hours. Can you commit to participating regularly to these meetings or submitting written reports in your absence?
Please Select
Yes
No
Personal Statement: Tell us why you are interested in running for this position in 100 words or less.
0/100
Please List Technology or Other Skills Related to the Position:
Please List Academy-NI DPG and Nutrition Informatics Related Organizational Activities (begin with most recent):
Please list Leadership Positions held (begin with most recent):
Please Upload Current CV/Resume:
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Please Upload Professional Headshot:
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