Trailblazers Board of Directors Nomination Form

Trailblazers Board of Directors Nomination Form

Please fill out all fields below to the best of your ability for the person you are nominating (or about yourself if this is a self-nomination).  If you haven't already, please review the Trailblazers board nomination process found on our website at the following link.
1.Please enter the first and last name of the person you are nominating.(Required.)
2.Please enter the email address of the person you are nominating.(Required.)
3.Please enter the phone number of the person you are nominating.(Required.)
4.Please indicate your nominee's age range.(Required.)
5.Please indicate their gender identity.(Required.)
6.Please indicate if they identify as any of the following. Check all that apply.(Required.)
7.Where do they reside?
8.Are there any other distinguishing identifiers that might be pertinent to their service on the Trailblazers board? If so, please explain to the best of your ability.
9.Skills/Areas of Expertise (Check all that apply.)
10.Does your nominee have any other skills, areas of expertise, professional experience, or volunteer experience that might be pertinent to their service on the Trailblazers board? If so, please explain.
11.Does your nominee have previous or current board experience?
12.If yes, which boards? How many years have they served? What was/is their role? Did/do they serve on any committees?
13.Why do you think your nominee would be a good fit for the Trailblazers board?
14.Are there any potential conflicts that might impede your nominee from serving on the Trailblazers board? If so, please explain to the best of your ability.