OBUSA Board Candidate Nomination Form Question Title * 1. Candidate/Nominee First Name Question Title * 2. Candidate/Nominee Last Name Question Title * 3. Candidate/Nominee Email Address Question Title * 4. Candidate/Nominee Phone Number Question Title * 5. Candidate/Nominee State of Primary Residence Question Title * 6. Candidate/Nominee Birthdate (if known) Date Date Question Title * 7. Candidate/Nominee Gender Female Male Non-Binary Transgender Unknown They Prefer to Self Describe (please specify) Question Title * 8. Candidate/Nominee Ethnicity African African American Asian Multi-ethnic Hispanic or Latino Caucasian (non hispanic) Native Hawaiian or Pacific Island American Indian or Alaska Native Candidate/Nominee Does Not Know Ethnicity Candidate/Nominee Prefers Not to Answer Unknown Other (please specify) Question Title * 9. Describe your connection to the Candidate/Nominee Question Title * 10. Is the Candidate/Nominee an Outward Bound Course Alumnus? Yes No Unknown Please share course location, activities, length, year, their age, or anything else you've heard about their experience: Question Title * 11. Does the Candidate/Nominee have another or different connection to Outward Bound? If so, please share. Question Title * 12. Candidate/Nominee Professional Background/Business Sector Question Title * 13. Candidate/Nominee Career Summary (Linkedin profile link or Biography) Question Title * 14. Candidate/Nominee Resume and/or Biography Upload (if available) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Candidate/Nominee Resume and/or Biography Upload (if available) Question Title * 15. Exceptional Skills, Knowledge, and Experience Candidate/Nominee would bring to OBUSA Board Question Title * 16. Why do you think the Candidate/Nominee would make an informed, engaged, and active member of the OBUSA Board and how do they contribute to the Board’s composition? Question Title * 17. Is the Candidate/Nominee aware that your are making this recommendation? If not, please let them know as we will be contacting them soon to discuss their interest. Yes No Other (please specify) Question Title * 18. Nominator First Name Question Title * 19. Nominator Last Name Question Title * 20. Nominator Email Address Question Title * 21. Nominator Phone Number Question Title * 22. What is your preferred method of communication should we wish to contact you for more information? Phone Email Other (please specify) Question Title * 23. Please add any other comments you'd like to share: Submit