To be filled in by Nominee

Candidate Form Board 2015

Association Montessori Internationale

Position for which you are nominated:

r Affiliated Societies representative r Humanitarian and Child Advocacy

Name________________________________________________________________

Address______________________________________________________________

_____________________________________________________________________

Home Phone_________________________ Work Phone____________________

Email________________________________________________________________

Employer____________________________________________________________

Position/Title_________________________________________________________

Employer Address____________________________________________________

What, if any, direct involvement have you had with the AMI Montessori Movement?

What experience, skills, knowledge, or talents do you feel you could bring to the position indicated above on the AMI Board? Please address the Skill Sets and Requirements/skills and experience requested in the Profile for this position in your response.

Why are you interested in becoming a member of the AMI Board?

Please attach a short biography.

Please return this form and your bio-data to:

AMI, Koninginneweg 161, 1075 CN Amsterdam, The Netherlands