Millburn-Short Hills Chamber of Commerce Board of Directors Nomination Form

1. Millburn-Short Hills Chamber of Commerce Board of Directors Nomination Form

Thank you for your interest in serving on the Millburn-Short Hills Chamber of Commerce Board of Directors. The Nominating Committee will use this information to create a recommendation to the current Board of Directors to elect a slate for the 2017-2018 Board of Directors. This is a working board. We are seeking candidates that are willing to further the Chamber's mission with their time, energy, expertise and passion. In addition to the regular monthly board meetings, each member of the Board of Directors is required to serve on at least one committee. The Nominating Committee and Board of Directors may not be able to seat everyone interested in serving and the election outcome is at the sole discretion of the Board. Once again, thank you for your interest in serving.

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* 1. Please provide us with your contact information in the event you are asked to serve...

Name: *

Company: *

Address:

Address 2:

City/Town: *

State: *

ZIP/Postal Code:

Email Address: *

Phone Number: *

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* 2. Are you currently a member of the Millburn-Short Hills Chamber of Commerce in good standing?

Yes

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* 3. Please rate your interest in serving on the following committees.

	Very Interested	Interested	Somewhat Interested	Not Interested
Marketing	Marketing Very Interested	Marketing Interested	Marketing Somewhat Interested	Marketing Not Interested
Fundraising	Fundraising Very Interested	Fundraising Interested	Fundraising Somewhat Interested	Fundraising Not Interested
Finance/Budget	Finance/Budget Very Interested	Finance/Budget Interested	Finance/Budget Somewhat Interested	Finance/Budget Not Interested
Membership/Volunteers	Membership/Volunteers Very Interested	Membership/Volunteers Interested	Membership/Volunteers Somewhat Interested	Membership/Volunteers Not Interested
Special Events	Special Events Very Interested	Special Events Interested	Special Events Somewhat Interested	Special Events Not Interested

Please feel free to add comments about why you would like to serve on a particular committee...

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* 4. I am interested in being the Chairperson for one of the following committees... (answer not required)

Marketing

Fundraising

Membership

Special Events

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* 5. Would you be interested in serving on the Executive Committee? Please select any positions you would like to be considered for...

Executive Committee At Large

Future President

One of Three Vice Presidential Positions

Secretary

Treasurer

Committee Chairperson

Please use this box for any additional comments and/or special qualifications to serve on the Executive Committee

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* 6. I understand that serving on the Millburn-Short Hills Chamber of Commerce requires attendance at two meetings per month, one Board meeting and one committee meeting (up to a total of three for the Executive Committee). I understand that I will be expected to assist at a limited number of Chamber sponsored events and serve on at least one Chamber committee. I am an active member of the Millburn-Short Hills Chamber of Commerce and will continue my membership through 2018. I understand that there are limited seats available for the Board of Directors of the Millburn-Short Hills Chamber of Commerce. The Nominating Committee and Board of Directors may not be able to seat everyone interested in serving and the election outcome is at the sole discretion of the Board. Filling out this form does not guarantee a seat on the board and the recommendation of the Nominating Committee, with a subsequent Board vote is final.

Yes

Use this box to include any other information about yourself to help inform the Nominating Committee