AFPGHC 2025 Board Nominations Form

Candidate for consideration by the committee on directorship for the 2025 Board of Directors.

NOMINATION MUST BE RETURNED BY
September 30, 2024

Please click HERE to download the board expectations and responsibilities.

For questions please contact Committee on Directorship Chair: Jill Assir, MBA, CFRE, Immediate Past President at jillassir@gmail.com.

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* 1. Nominator's Name

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* 2. Self Nomination

Yes

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* 3. Director Position (if current board member)

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* 4. Name of Nominee

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* 5. Member # (Candidate must be an active AFP Member to serve on board)

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* 6. Organization

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* 7. Professional Position Title

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* 8. Address

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Contact Number

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* 9. Pronouns

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* 10. Area of Employment

Other (please specify)

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* 11. Certification - if applicable (CFRE, CNP, etc.)

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* 12. I understand the AFP-GHC Board Member Expectations and Responsibilities and the AFP-GHC Board Member Conflict of Interest/Nondisclosure and Statement of Understanding Policies.

I Agree

I Disagree

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* 13. Race/Ethnicity

Aboriginal Person (e.g. North American Indian)

Black/African American, not of Hispanic Origin

Alaskan Native

Arab

Caribbean (West Indian)

Caucasian/White, not of Hispanic Origin

Chinese

Filipino

First Nations, Inuit, Metis

Hawaiian

Hispanic/Latino

Japanese

Korean

Latin American

Pacific Islander

Samoan

South Asian (e.g. East Indian, Pakistani, Sri Lankan)

Southeast Asian (e.g. Vietnamese, Cambodian, Malaysian)

Other

Prefer Not to Answer