ITEA Board of Directorsnomination Form

ITEA Board of DirectorsNomination Form

(Nominations must be submitted no later than April 28, 2017in order to be considered.)

CHECK BOTH TO BE CONSIDERED FOR EITHER POSITION:

____Elected Position: Serves for a three (3) year term–Nov 2017 to Oct2020

____Appointed Position: Serves for a one (1) year term – Nov 2017 to Oct 2018

Candidate’s Information*

Name:

Date Joined ITEA:E-Mail:

Title:

Organization:

Address:

City:State:Zip Code:

Telephone:Fax:

Nomination submitted by*(Complete only if Candidate is not Self-Nominated):

Name:

Date Joined ITEA:E-Mail:

Title:

Organization:

Address:

City:State:Zip Code:

Telephone:Fax:

* Candidate and Nominator, if applicable, must be current members of ITEA in good standing.

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ITEA Board of Directors Candidate Nomination Form– Page 1

Candidate’s Biography (Not to exceed 300 words)

Attach a current resume or detail below the candidate’s experience, education, employment history, and other relevant background information.

Candidate’sDemographic Information

ITEA Chapter: ______

Employment Type (Select only one):

____Academic (Full Time Student)____Government Employee

____Academic (Teacher/Professor/Administrator)____Military (Active Duty)

____Consultant____Not-For-Profit Organization Staff

____Contractor (Primarily Commercial)____Retired (Private Sector)

____Contractor (Primarily DoD)____Retired Government (Non-Military)

____Contractor (Primarily Non-Dod Gov’t)____Retired Military

____Other: ______

Employment Level (Select only one):

____Individual Contributor____First Level Supervisor ____Middle Management

____Director/Vice President____President/CEO____Other: ______

Area(s) of Responsibility (Select all that apply):

____Acquisition/Purchasing____Engineering____Project/Program Management

____Administration____HR/Personnel____Sales and Marketing

____Finance/Accounting ____Production/Man’f____Other: ______

Primary Industry Segment (Select only one):

____Consumer Products____Military Weapon Systems

____Commercial (Non-Military) Products____Professional Services/Consulting

____Military IT Systems____Other: ______

Prior Military Service:____ Yes____ No

Candidate’sLeadership and Volunteer Experience(Not to exceed 300 words)

Please describe candidate’s previous experience within ITEA and/or other organizations.

Candidate’sExpertise (Not to exceed 300 words)

Please describe candidate’s expertise in any specific area(s) that they would bring to the Board.

Candidate’sAdditional Remarks (Not to exceed 100 words)

Please provide the purpose of this nomination, which issues would the candidate want to address during their term of service on the Board, and any relevant previous accomplishments.

Nominations must be submitted no later than April 28, 2017,in order to be considered.

Please send completed nomination forms to James Gaidry, ITEA Executive Director,

via e-mail at , or by fax to 703-631-6221.

CONNECT with ITEA to LEARN, SHARE, and ADVANCE!