YBAA Leadership Nomination Form

Interested in serving on The Board of Directors:
Interested in serving on a YBAA Committee:
Committee Name:

YBAA is a not-for-profit 501(C)(6) trade association, governed by an elected board of directors and supported by appointed committees and staff. Any YBAA member in good standing may be nominated to serve as a committee or Board member. Nomination forms should be completed, with the approval of the member nominated. The Association Executive/Nominating Committee will review all director nominations, and recommend approved candidates to the Board. Election of new Board Members is conducted by mail ballot, in accordance with the Association’s by-laws. Members interested in serving on an appointed committee are also invited to submit a nomination form. Committee appointments are the responsibility of YBAA’s president.

Nominee Name:
Title:
Member Company Name
Work Telephone:
Cell Phone:
Fax:
Email:
Home Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Telephone:
Spouse Name:
Spouse Employer:

Past and current professional positions and companies served:
Years:
Company Name:
Title:
Years:
Company Name:
Title:
Years:
Company Name:
Title:

Professional training or certificates:
Other memberships in professional/civic organizations:
Titles held/Awards received:
Skills/interests applicable to serving YBAA:
Why do you wish to serve as a Board or Committee Member?
Sponsor Name:
Date: ?
   - denotes required fields