Board of Directors Candidate Nomination

We invite nominations for the NAMI New York State Board of Directors. Please complete all required fields to ensure full consideration.

As we build a strong, well-rounded Board, we encourage nominations that reflect a range of skills, experiences, and perspectives, including (but not limited to): legal, finance, clinical and healthcare, veteran representation, law enforcement (particularly CIT experience), and youth voice.

We are also seeking individuals who can connect to and advance NAMI New York State’s statewide mission & have the capacity and commitment to actively engage in Board service.

Board members will be placed into cohorts based on total votes received, ranked from highest to lowest:

Cohort A: 5 seats | 3-year terms
Cohort B: 3 seats | 2-year terms
Cohort C: 2 seats | 1-year terms

Submission Deadline: May 21, 2026
Board of Directors Candidate Nomination
Nominator Information

Please provide your information as the person submitting the nomination.
Name of Nominator*

First NameLast Name
NYS Affiliate (Nominator)*
NAMI Membership Number*
Email Address (Nominator)*
example@example.com
Phone Number (Nominator)*
Please enter a valid phone number.Format: (000) 000-0000.
Nominee Information

Please provide information about the person you are nominating.
Full Name of Nominee*

First NameLast Name
NYS Affiliate (Nominee)*
Is the nominee a current NAMI member?*

YesNoNot sure
Phone Number (Nominee)*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address (Nominee)*
example@example.com
State reasons for nominating this person*
List experiences you’ve had working with this person*
Is the nominee involved in any NAMI committees, events, programs, or other activities?*
Nominee's Resume*

Cancelof
Have you received this person's permission to nominate them?*

YesNo
Nominator Signature*
Should be Empty:

Board of Directors Candidate Nomination

Nominator Information

Nominee Information