ICOM-US Board Recruitment Matrix- Open Call for Nominations, ICOM-US Board of Directors

Please complete the board matrix from in the survey below. If you prefer to review the paper form of questions prior to submitting the survey, please find the Paper Form HERE. If you have any questions, please email Molly Shevlin at mshevlin@hauck.com or Morgan Denault at icomus@icom.museum.

If you are nominating on behalf of someone else, please include a letter of nomination in the additional support information upload

*Note that the committee is taking a long view of shaping the board, so nominations received this year may be considered in future years.*

Question Title

* 1. Contact Information:

Full Name *

Organization *

Job Title *

City/Town *

State/Province

Email Address *

Phone Number

Question Title

* 2. Type of Institution (choose one)

Art

Archeology

Cultural heritage

History

Science

Academic

Consultant

Other (please specify)

Question Title

* 3. Please answer the following questions in regards to your organization or institution (if applicable):

Annual Operating Budget

Number of Employees

Collection Size

Question Title

* 4. Areas of Expertise/Professional Skills (Check all that apply):

Administration (Human Resources, Financial)

Advocacy

Archaeology

Art

Audience Engagement

Business/Corporate

Conservation

Cultural Diplomacy

Emergency Preparedness and Risk Assessment

Exhibits

Facilities Management

Development

Government Relations (US)

Historic Sites/Historic House Museum

International Collaborations and Partnerships

Law

Marketing/Communications

Media and Technology to Provide Global Access

Memorials and Monuments

Preservation of Cultural Heritage

Prevention of Illicit Trafficking of Stolen Artifacts

Science

Security

University

Zoo

Other (please specify)

Question Title

* 5. Demographic Information- Age:

Under 35

35-50

50-65

Over 65

Question Title

* 6. Demographic Information-Gender

Male

Female

Other (please specify)

Question Title

* 7. Race/Ethnicity:

Caucasian

Hispanic or Latino(a)

African American

Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

Question Title

* 8. Geographical Distribution (U.S.):

Northeast

South

West

Midwest

Other (please specify)

Question Title

* 9. Individual ICOM Members Since (Year Joined):

Question Title

* 10. Institutional ICOM Members Since (Year Joined):

Question Title

* 11. List your language skills and proficiency below:

Question Title

* 12. ICOM-US Board Service Interest:

Financial/Governance Committee

Marketing Committee

Membership Committee

Nomination Committee

Program Committee

Other (please specify)

Question Title

* 13. (Self Support) Ability to self-finance participation in annual meetings and international committee meetings

Yes

Other (please specify)

Question Title

* 14. (Institutional Financial Support) Ability to receive support to participate in annual meetings and international committee meetings:

Yes

Other (please specify)

Question Title

* 15. Past Board Experience: Please list your experience in working on Boards below:

Question Title

* 16. ICOM Experience: List your ICOM experience (international, national, technical committees and positions held):

Question Title

* 17. International Experience: Tell us about your experience working on international project, collaborations, employment, conference attendance and travel:

ICOM-US Board Recruitment Matrix- Open Call for Nominations, ICOM-US Board of Directors

Question Title

* 1. Contact Information:

Question Title

* 2. Type of Institution (choose one)

Question Title

* 3. Please answer the following questions in regards to your organization or institution (if applicable):

Question Title

* 4. Areas of Expertise/Professional Skills (Check all that apply):

Question Title

* 5. Demographic Information- Age:

Question Title

* 6. Demographic Information-Gender

Question Title

* 7. Race/Ethnicity:

Question Title

* 8. Geographical Distribution (U.S.):

Question Title

* 9. Individual ICOM Members Since (Year Joined):

Question Title

* 10. Institutional ICOM Members Since (Year Joined):

Question Title

* 11. List your language skills and proficiency below:

Question Title

* 12. ICOM-US Board Service Interest:

Question Title

* 13. (Self Support) Ability to self-finance participation in annual meetings and international committee meetings

Question Title

* 14. (Institutional Financial Support) Ability to receive support to participate in annual meetings and international committee meetings:

Question Title

* 15. Past Board Experience: Please list your experience in working on Boards below:

Question Title

* 16. ICOM Experience: List your ICOM experience (international, national, technical committees and positions held):

Question Title

* 17. International Experience: Tell us about your experience working on international project, collaborations, employment, conference attendance and travel:

Question Title

* 18. Please upload a short bio (or paste in the comment box below):

Question Title

* 19. Please provide a short bio below (or upload in the previous question):

Question Title

* 20. Other Comments:

Question Title

* 21. Additional support information (optional upload):