MPI Georgia Chapter Board of Directors 2017 – 2018

Application

This form must be completed and submitted by 5:00pm on Monday, December 12, 2016.

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 Molly Whobrey at mwhobrey@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
Director Leadership Development	Director Leadership Development 1	Director Leadership Development 2	Director Leadership Development 3	Director Leadership Development Not Interested
Vice President Finance	Vice President Finance 1	Vice President Finance 2	Vice President Finance 3	Vice President Finance Not Interested
Director Strategic Partnerships	Director Strategic Partnerships 1	Director Strategic Partnerships 2	Director Strategic Partnerships 3	Director Strategic Partnerships Not Interested
Director Administration	Director Administration 1	Director Administration 2	Director Administration 3	Director Administration Not Interested
Vice President Membership	Vice President Membership 1	Vice President Membership 2	Vice President Membership 3	Vice President Membership Not Interested
Director Membership	Director Membership 1	Director Membership 2	Director Membership 3	Director Membership Not Interested
Vice President Strategic Events	Vice President Strategic Events 1	Vice President Strategic Events 2	Vice President Strategic Events 3	Vice President Strategic Events Not Interested
Director Strategic Events	Director Strategic Events 1	Director Strategic Events 2	Director Strategic Events 3	Director Strategic Events Not Interested
Vice President Communications	Vice President Communications 1	Vice President Communications 2	Vice President Communications 3	Vice President Communications Not Interested
Director Communications	Director Communications 1	Director Communications 2	Director Communications 3	Director Communications Not Interested
Vice President Education	Vice President Education 1	Vice President Education 2	Vice President Education 3	Vice President Education Not Interested
Director Education (Programs)	Director Education (Programs) 1	Director Education (Programs) 2	Director Education (Programs) 3	Director Education (Programs) Not Interested
Director Education (Curriculum)	Director Education (Curriculum) 1	Director Education (Curriculum) 2	Director Education (Curriculum) 3	Director Education (Curriculum) Not Interested

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* 4. 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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* 5. 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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* 6. What is the greatest challenge currently facing MPI Georgia Chapter and what is one possible solution?

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* 7. 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 2017 - 2018 board, are you able to attend at least 80% of all MPI Georgia programs and events?

Yes

No

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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. 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.