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Board of Directors Candidate Application
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Name
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Address
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Phone Number
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Email Address
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MASHRM Position Desired
President Elect
Treasurer Elect
Secretary
Member At Large
Nominating Committee Chair
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Present Employment
Name of Organization and Employee Title
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Brief Summary of Responsibilities
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Briefly Describe Your MASHRM Activities
Board or Committee Involvement, Meeting Attendance, etc.
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Are you a member of ASHRM?
Yes
No
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If nominated are you willing and able to commit time to the position you are seeking?
Yes
No
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I understand that if I am elected I will devote my tenure as a member of the Board Of Directors to furthering the purpose and mission of the organization.
I will always act with reasonable care and for the good of the organization, as a fiduciary of MASHRM and with diligence, integrity and collegiality;
Yes
No
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Do you accept that if nominated all of the information entered on this form will become part of the ballot sent to all members.
Yes
No
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