SAME Elected Director Nomination Form

Elected Director Nomination Form

Nomination Type

Full Name of Nominee:

First Last

Organization/Affiliation:

Title/Position:

Nominee Telephone Number:

Nominee Email Address:

Nominee Professional Certifications and Qualifications:

SAME Post Contributions (actions, impact, results):

SAME National Strategic Plan Contributions (actions, impact, results):

Awards and Recognition from SAME or other organizations:

Upload Candidate Essay (Building on your contributions thus far, how do you plan to serve the Society as an Elected Director?)

Max. file size: 20 MB.

Upload Commitment Statement (time, attendance and employer commitment)

Max. file size: 20 MB.

Upload Nominee Photo:

Accepted file types: jpg, jpeg, png, gif.

Nominator Full Name (self nominators should list nominee information):

Nominator Telephone Number:

Nominator Email:

Nominator Narrative: Brief statement noting candidate's commitment to SAME over time and potential to serve effectively as a National Officer or Elected Director. (not required for self-nominators)

The Nominator and Nominee have read the Nominating Procedures.