2015 NOMINATION FORM – DIRECTOR

Please complete this form to be considered for a position of Director of the PMI Durham Highlands Chapter. All information on this form must be completed prior to submitting to the Nominations Committee.

(1) Nominee information

Nominee (please print): / ______
PMI Membership #: / ______/ Join Date in PMI – DHC: / ______
Contact E-mail: / ______/ Contact Telephone #: / ______

1.  Please include on a separate sheet a short biography (250 words or less) and a recent picture that will be used for the nomination and election process.

2.  Time Commitment:

Board members attend one Board meeting per month, strategic planning sessions and various Chapter functions. In addition to Board Meetings, each Director holds a Portfolio which may require additional time commitments and/or meetings. With these meetings and the addition of portfolio workload, e-mails and telephone conversations, one can expect a time commitment of between 15 and 20 hours per month.

3.  Skills and Expertise: The following skills inventory represents the skills and expertise currently required on the PMI-DHC Board of Directors for the three vacant Director positions. Please take the time to indicate which of the skills/expertise apply to you. When you complete this section, please provide details such as education, work or volunteer assignments in which you have utilized that particular skill. Also, include the number of years experience for that specific skill set. The second section reflects core board skill sets required which applies to all positions.

4.  References: References may be requested by the Nominations Committee.

5.  Please scan and forward the completed forms along with a current resume and biography with photo via email to the Nominations Committee at or in person to a DHC Nominations Committee Member.

6.  Please indicate which term you are seeking: 3 year 2 year

Skills and Expertise Inventory

Section 1 – Position-Specific Skills and Interests: Please complete only for position(s) of interest:
Position # 1 - Skills / Expertise / Years / Position # 1 - Skills / Expertise / Years
Volunteer Management
Details: / ____ / Member engagement and recognition
Details: / ____
Conflict resolution
Details: / ____ / ____
Position # 2 - Skills / Expertise / Years / Position # 2 - Skills / Expertise / Years
Financial Management and Accounting - Designation or Equivalent Experience (min. 5 years): Please specify (e.g. CA, CGA, CMA)
Details: / ____ / Knowledge of Tax and Provincial/Federal Law Pertaining to Non-Profit Management
Details: / ____
Other
Details: / ____
Position # 3- Skills / Expertise / Years / Position # 3- Skills / Expertise / Years
Communications skills
Details: / ____ / Marketing skills
Details: / ____
Meeting coordination and logistics
Details: / ____ / Social media
Details: / ____
Position # 4- Skills / Expertise / Years / Position # 3- Skills / Expertise / Years
Membership engagement
Details: / ____ / Event management
Details: / ____
Survey construction and analytics
Details: / ____ / Other
Details: / ____
Section 2 – Core Skills and Interests: Please complete for all applications:
Creative / Critical Thinking Skills
Details: / ____ / Experience Working with Boards (e.g. non-profits)
Details: / ____
Strategic Planning Skills
Details: / ____ / Written and Oral Communication Skills
Details: / ____
Project Management Experience
Details: / ____ / PMI Knowledge and Experience
Details: / ____
Organization Management
Details: / ____ / Legal and Policy
Details: / ____
Team Leadership
Details: / ____ / Other
Details: / ____

Signature of Nominee:

“By signing, the nominee agrees to seek election subject to the nomination skills and experience review, that any information included in this application may be published for nomination and election purposes, and if elected serve in accordance with the PMI-DHC By laws and the time commitment outlined above.”

Seconded by: (please print) / ______
PMI Membership #: / ______/ Date: / ______
Contact E-mail: / ______/ Signature: / ______