In addition to submitting this nomination form, please submit your current bio and a recent professional headshot (high resolution) via email to Christine Riley, Governance Chair at Christine.RileyMiller@samsonite.com and Carolyn Berkowitz, ACCP CEO, at Carolyn@accp.org.

Nomination forms are due by October 26, 2020.

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* 1. Contact Information

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* 2. Number of years with current company

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* 3. Number of years in CSR field

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* 4. Other Boards or committees on which you currently serve

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* 5. Please indicate any relevant functional expertise as defined as on the job responsibility (2+ yrs), post-secondary degree, or functional leadership of the role on a Board of Directors for 2+ yrs.

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* 6. Which geographical area is your professional market/network strongest in?

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* 7. Please indicate your racial or ethnic identity

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* 8. Please indicate your gender

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* 9. Please indicate your sexual orientation

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* 10. What generation does your age correspond?

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* 11. Please provide a statement of 100-200 words highlighting your relevant qualifications for the position.  In your statement, please address:
1) How your career history and experiences would strengthen the ACCP Board of Directors
2) Your commitment to ACCP and why you are seeking a role on its Board
3) Any other information or perspective that would shed light on your candidacy

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