Thank you for your interest in serving as a member of the Board of Directors.

Please complete the following questionnaire by Friday, October 15, 2021. (Applications received after that date may be considered upon the discretion of the Nominating Committee.)  Upon review of all responses, the Nominating Committee will make it's recommendations to the Board and you will be notified of its recommendation.

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* 1. Name

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* 2. Employer

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* 3. Current Job Title

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* 4. Preferred address, city, state, zip

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* 5. Contact Phone

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* 6. Contact email address

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* 7. Why are you interested in serving on the Board?

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* 8. What relevant skills and experience do you bring? (If you have previously served on any other boards, please list.)

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* 9. Is there an area of Chapter operations that most interests you? (This includes any particular areas of law, planning of Chapter events, the Chapter's Pro-Bono, Diversity and Street Law programs, and/or any other facet of Chapter operations.)

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* 10. Are you able to commit sufficient time and energy to the Board each month and will your employer support your activities? (The Board holds a monthly meeting, typically with half of them conducted via call and half in-person.  In-person meetings are typically held right before a Chapter networking or other event, so that Board members can more easily attend those events.  Each Board member is also expected to participate on at least one Board Committee as well as regularly attend Chapter events.  Board members serve a 3-year term.)

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* 11. Which Chapter events have you attended in 2020-2021 and what's your impression of these events??

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* 12. How many years have you been an in-house counsel? (List years and positions.  Please note, however, that there is no minimum level of experience required.)

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* 13. What other leadership roles within ACC or the Chapter, if any, have you held in the past? What has been your experience in such roles? (No prior experience with the ACC or the Chapter is required.)

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* 14. What other leadership roles (outside of ACC or the Chapter), if any, have you held in the past? What has been your experience in such roles?

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* 15. How do you think the Chapter can best meet the needs of its members?

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* 16. If you identify with one or more diverse categories, please consider letting us know by selecting from the following categories (choose any/all that apply).

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* 17. Please list any additional information you would like the Nominating Committee and Board to consider regarding your candidacy.

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