Nomination to Board of Directors 2021

Nominations must be received by Monday, September 20, 2021.

In addition to completing this form, please submit a nominating letter, which presents the nominee’s defining characteristics, summarizes the nominee’s contribution to health philanthropy, and describes why the nominee would be a good addition to the GIH board, to nominations@gih.org.

Question Title

* 1. Nominee Information

Name

Title

Organization

Address

City

State

Email Address

Phone Number

Question Title

* 2. Nominator Information

Name

Title

Organization

Address

City

State

Email Address

Phone Number

Question Title

* 3. Reference (For self-nominees only)

Name

Title

Organization

Address

City

State

Email Address

Phone Number

Nominations must be received by Monday, September 20, 2021. In addition to completing this form, please submit a nominating letter, which presents the nominee’s defining characteristics, summarizes the nominee’s contribution to health philanthropy, and describes why the nominee would be a good addition to the GIH board, to nominations@gih.org.