2016-2017 MPI-HAC Board of Directors Nomination Form

Thank you for taking time to nominate one of your peers for a position on the MPI-HAC Board of Directors.

You may nominate as many people as you choose; however, only one nomination per form. Therefore, you will have to revisit the nominations process for every person and position.

After you submit your nomination, your nominee will receive an email congratulating them and they will be asked to complete the Board Candidate Application. If they do not complete their submission form by January 15, 2016 they will not be considered for a board position.

Board members must be a current member of MPI-HAC to serve on the board.

Nominations close Friday, January 15, 2016

Thank you!

Clarissa Emrich-Mosbey

Acting MPI- HAC Immediate Past President

Chair, Nominating Committee

281-628-3057

♦ Board Nominee Information ♦
First Name of Nominee /
Last Name of Nominee /
Nominee Email /

Recommended Board Position for 2016-2017 (select all that apply)

_____ President-Elect – 3 Year Term
_____ Vice President, Administration – 1 Year Term

_____ Vice President, Education – 1 Year Term

_____ Vice President, Finance – 1 Year Term
_____ Vice President, Leadership Development – 1 Year Term
_____ Vice President, Membership – 1 Year Term
_____ Director, Finance – 1 Year Term
_____ Director, Communications – 1 Year Term
_____ Director, Member Care – 1 Year Term
_____ Director, Recruitment – 1 Year Term
_____ Director, Special Events – 1 Year Term

_____ Director, Education – 1 Year Term

_____ Director, Strategic Alliance – 1 Year Term

Why do you feel this nominee should serve on the MPI-CAC Board?

♦ Your Information ♦
Your First Name /
Your Last Name /
Your Email Address /

♦ Questions? ♦

If you have any questions about the nomination process, please contact:

Clarissa Emrich-Mosbey

Acting MPI- HAC Immediate Past President

Chair, Nominating Committee

281-628-3057