HPDC 2021 Board of Directors Election – Nomination Form Board of Directors Nomination Form Please complete the following information to nominate an individual as an applicant for nomination to the 2021 HPDC Board of Directors (to be completed and submitted by the Nominator). Note that this form is to assist nominator in collecting information and preparation purposes only; all applications must be submitted using the online form to be valid submissions. Please email any questions to email@example.com. The deadline for online submissions is 5 PM PDT Friday, October 16, 2020. Nominator’s Organization: * (Must be current HPDC General Member. May be nominee’s organization, or any other General Member organization.) Name of Nominator: * (Self-nominations are accepted) Nominator's Email: * Nominator's Phone Contact: * Nominator’s Statement of Support for the Nominee (limit 150 words): * This statement should address the reasons why the Nominator believes that Nominee would be an effective member of the HPDC Board - limit 150 words) The Nominator should obtain the following information from the Nominee: Nominee’s Organization: * (Must be current HPDC General Member) Name of HPDC Primary Representative for Nominee’s Organization: * Nominee’s Name: * Nominee’s Job Title: * Nominee’s Email Address: * Nominee’s Phone Contact: * Nominee’s Short Form Nomination Summary (limit 150 words): * This text will placed alongside nominee’s name on ballot Nominee’s Brief Biography and Summary of Qualifications (limit 250 words): * Please note: Current CV/resume can be submitted with this application below. Nominee's Personal Statement of Interest (limit 250 words): * Nominee's Organization’s Statement of Support for Candidate: This statement should address the commitment of the organization to support the nominee in contributing, time, financial and other resources and responding to other expectations for HPDC Board members. The statement should be from someone in one of the following roles: Organization Officer or Nominee Supervisor. Statement Provided by Name: * Organization Position: * Statement (limit 150 words): * Attach current CV/resume document here. Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Date If you are human, leave this field blank.