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Nominations

You may use the form below to submit your nominations to the 2012 NYMISSA Board of Directors, or if you prefer, you may download and complete this form and email it to communications@nymissa.org:

2012 NYMISSA BOD Nomination Form

2012 Board of Directors Nomination Petition

Candidate Name*
ISSA Number*
Company*
Title
Phone*
Email*
Brief Biography*
Describe past work experience, other organizations the candidate belongs to, etc.
Statement of Goals to Achieve*
Indicate candidate's areas of interest as a Board of Directors member.
Statement of Commitment
I understand that being on the NYMISSA Board of Directors will require a regular commitment of my time and energy, and this it is expected I will participate in Board committee activity and regularly attend Board meetings.