2009 Candidate Canvass Submission Form

Home
Events
Work Groups
Leadership Tools
Resources
About
Member Login

You Are Here: NYS Forum Home > About The Forum > 2009 Candidate Canvass > Submission Form

2009 Candidate Canvass

Call for Nominations 2009

2009 Candidate Canvass

Nominations must be received by The NYS Forum by COB August 11, 2009 for consideration.
Information submitted will be reflected in a common format on the ballot.

Note: All fields are required (except Address1).

Candidate Information:

First Name:

Last Name:

Current Position Title:

Agency/Organization Name:

Address:

Address1:

City:

State:

Zip:

Phone:

Email:

Current Position Description:

Short Biography:

Information Management Interests:

NYS Forum Involvement:

To become a candidate you will need to provide a written statement (email acceptable) indicating that your agency Ethics Officer or other appropriate official is aware of your desire to serve on the NYS Forum's Corporate Board and that doing so is acceptable.: Statement will be sent prior to September 1, 2009

I am interested in the office of Secretary-Treasurer: Yes; No

Privacy Statement
Accessibility/Using This Web Site
Site Map