ISOQOL Board of Directors: Colleague Nomination Form
Thank you for your dedication to ISOQOL and for your involvement in the Board Nominations process. We greatly appreciate your suggestions and contributions to our organization. Please complete the form below to provide information about the colleague you wish to nominate.
Your Contact Information
Nominator Name:
*
First Name
Last Name
Nominator Email Address:
*
example@example.com
Indicate your nomination preferences below:
*
I prefer to keep my nomination anonymous.
I consent to having my information shared with the Nominations Committee.
I consent to having my information shared with the colleague I am nominating.
Nominee Contact Information
Nominee Name:
*
First Name
Last Name
Nominee Email Address:
example@example.com
Nominee Current Employment/Company:
Nominee Country:
Reason for Nominating
In 250 words or less, please describe why you believe this individual should serve on the ISOQOL Board of Directors.
0/250
Submit
Should be Empty: