Board Nomination

Nominee’s Name:

How long involved with CHEC:

Board position desired:

Company:

Job Title:

Address:

City:

Zip:

Phone:

Fax:

Email:

Why do you wish to (should the nominee) be a Board Member?

What skills, knowledge, and/or experience will you (the nominee) bring to the CHEC Board of Directors?

How have you (the nominee) contributed to furthering CHEC initiatives, including any committees served?

Agreement to serve:

• A member of the of the Capital Healthcare and Employment Council Board of Directors serves for two years

• The Board Members at the first meeting following the election will appoint officers of the board and committee representatives each year

• There are six regularly scheduled meetings of the Board of Directors: October, December, February, April, June, and August. The Chair of the Board may schedule additional meetings. Schedule for the upcoming year will be determined at the October meeting. Current meeting date is the third Wednesday of every other month from 8:00 a.m. to 9:30 a.m.

• Meetings are typically held at Capital Area Michigan Works!

I agree to uphold the responsibilities of a CHEC board member through out my term. I will attempt to participate in all Capital Healthcare and Employment Council directors meetings and at least two membership luncheons or special events. I understand that if I am elected and demonstrate that I am unable to uphold my responsibilities, the board has the right to replace my position.

If you are nominating another party please complete below:

Nominated by:

Company:

Phone:

Email:

This member is aware that they are being nominated and has agreed to the nomination and service.

By submitting this document, you agree to the above statements.

Ext.:

BOARD OF DIRECTORS NOMINATION FORM