SAME National Officer Nominations Form

National Officer Nominations 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 Leadership – Positions/Contributions:

SAME Councils, Committees, and Communities of Interest (C3s) contributions:

National level contributions and accomplishments?

Awards and Recognition from SAME or other organizations:

Candidate Essay (500 words max; how being a National Officer will help SAME achieve its Strategic Plan)

Max. file size: 120 MB.

Upload Commitment Statement (time, attendance and employer commitment)

Max. file size: 120 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 (not required for self-nomination):

The Nominator and Nominee have read the Nominating Procedures.

The video has been sent to SAME (koff@same.org) addressing the President's Strategic Guidance.

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