MPI Georgia Chapter Board of Directors 2021–2022

Application

This form must be completed and submitted by 5:00 PM on Wednesday, January 6, 2021.

The Nominations Committee will review all submissions and will be in touch with applicants about next steps. If you have any problems or questions concerning this form, please e-mail Tara Zeravsky at tzeravsky@mpigeorgia.org.

Answers with an * are required.

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* 1. Contact Information

Name *

Job Title *

Company

Email Address *

Phone Number *

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* 2. MPI Membership ID #:

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* 3. Please RANK the top three (3) positions for which you wish to be considered, with “1” being your first choice.

	1	2	3	Not Interested
President Elect	President Elect 1	President Elect 2	President Elect 3	President Elect Not Interested
Leadership Development - Director	Leadership Development - Director 1	Leadership Development - Director 2	Leadership Development - Director 3	Leadership Development - Director Not Interested
Finance - Vice President	Finance - Vice President 1	Finance - Vice President 2	Finance - Vice President 3	Finance - Vice President Not Interested
Strategic Partnerships - Director	Strategic Partnerships - Director 1	Strategic Partnerships - Director 2	Strategic Partnerships - Director 3	Strategic Partnerships - Director Not Interested
Membership - Vice President	Membership - Vice President 1	Membership - Vice President 2	Membership - Vice President 3	Membership - Vice President Not Interested
Membership - Director	Membership - Director 1	Membership - Director 2	Membership - Director 3	Membership - Director Not Interested
Membership - Director	Membership - Director 1	Membership - Director 2	Membership - Director 3	Membership - Director Not Interested
Strategic Events - Vice President	Strategic Events - Vice President 1	Strategic Events - Vice President 2	Strategic Events - Vice President 3	Strategic Events - Vice President Not Interested
Strategic Events - Director	Strategic Events - Director 1	Strategic Events - Director 2	Strategic Events - Director 3	Strategic Events - Director Not Interested
Communications - Vice President	Communications - Vice President 1	Communications - Vice President 2	Communications - Vice President 3	Communications - Vice President Not Interested
Communications - Director	Communications - Director 1	Communications - Director 2	Communications - Director 3	Communications - Director Not Interested
Education - Vice President	Education - Vice President 1	Education - Vice President 2	Education - Vice President 3	Education - Vice President Not Interested
Education - Director	Education - Director 1	Education - Director 2	Education - Director 3	Education - Director Not Interested
Administration - Director	Administration - Director 1	Administration - Director 2	Administration - Director 3	Administration - Director Not Interested

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* 4. Describe an idea for improvement for the area(s) for which you are applying. Include why you are interested in the position; what you want to contribute; and share one idea you have for the Chapter’s success.

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* 5. What is the greatest challenge currently facing MPI Georgia Chapter and what is one possible solution?

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* 6. List leadership positions you have previously held or currently hold in MPI Georgia, your job/organization, or other association. Positions may include committee participation. Include position titles, short descriptions, and dates. Describe how the aforementioned leadership positions have prepared you to serve on this board.

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* 7. List individual industry-related awards and/or professional designations (i.e. CMP, CMM, etc.) you have earned. Include: award/designation; purpose of; sponsoring organization; and date award/designation was received.

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* 8. Please give two examples where you have shown leadership in either a professional or volunteer role.

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* 9. Attendance Requirement: MPI Georgia Chapter board members are expected to support the chapter by their attendance at programs, events, leadership meetings and Board retreats (early May and early December). If slated to serve on the 2021-2022 board, are you able to attend at least 80% of all MPI Georgia programs and events?

Yes

No