Governing Board of Directors Nomination Form

Candidate Information

33% of survey complete.

An active search is underway for four NCHRA Governing Board members to begin a 3-year term in January, 2016. The Nomination Committee is inviting professionals to refer potential candidates (including self-referral) who are qualified and interested in this leadership opportunity. The deadline to submit nominations is November 11, 2015.

Question Title

1. Please tell us about the candidate

Name

Phone number

Company and Title

Education

Question Title

2. Has this person’s interest been determined in being nominated for NCHRA's Governing Board of Directors?

Yes

Other (please specify)