Section Executive Nomination Form
ACC Thunder Bay Section
Nominee's Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which position are you most interested in:
Chair
Section Administrator
Communications Lead
Leadership Development Coordinator
Climbing Programs Coordinator
Financial Coordinator
Youth Programs Coordinator
Membership Coordinator
Equity and Inclusion Lead
Events Coordinator
Section Representative (note: can hold two roles)
Other
Current Work
Position/Title
Does the nominee have any board member experience?
Yes
No
If yes, please provide the following
Company Name
Position/Title
Duration
What professional and personal experience can you bring to the role?
How will you serve as a link between the organization and the community?
I confirm that I don't have any conflict of interest or potential that will be a hinderance in joining the executive.
I confirm that I will perform my duties as a section executive by committing to it.
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: