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  • BIN National Steering Committee Form

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    This document is a nomination form for the steering committee of the Black Immigration Network (BIN). It requests information about the candidate being nominated such as their name, contact details, employment experience, skills, affiliations, and whether they have been contacted about their interest and willingness to serve if elected. The nominator is also asked to provide their contact information.

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    This document is a nomination form for the steering committee of the Black Immigration Network (BIN). It requests information about the candidate being nominated such as their name, contact details, employment experience, skills, affiliations, and whether they have been contacted about their interest and willingness to serve if elected. The nominator is also asked to provide their contact information.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    34 views1 page

    BIN National Steering Committee Form

    Uploaded by

    blackimmigration
    This document is a nomination form for the steering committee of the Black Immigration Network (BIN). It requests information about the candidate being nominated such as their name, contact details, employment experience, skills, affiliations, and whether they have been contacted about their interest and willingness to serve if elected. The nominator is also asked to provide their contact information.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    BLACK IMMIGRATION NETWORK (BIN)

    Steering Committee Nomination Form


    Note: Please return this nomination form to the Registration Table by 6:00 pm on Monday, April 23, 2012

    Candidate Information
    Name
    ___________________________________________________________
    Address

    ____________________________________________________

    Cell Phone Number _________________ Work Phone Number___________________


    E-mail address

    ______________________________________________________

    Employment/Position
    Education

    ________________________________________________

    _________________________________________________________

    Previous experience (if any) with (name or org)


    _________________________________________________________________
    _________________________________________________________________
    Please circle any of the following skills or experience that the candidate possesses.
    Finance, accounting
    Grant writing
    Fundraising and special events
    Public relations, communications
    Public Policy
    Other ________________________

    Management, administration
    Nonprofit experience
    Teaching experience, curriculum development
    Contacts, networking
    Research
    Other ________________________

    Affiliations or organizations the candidate belongs to (e.g., membership, professional,


    civic).
    _________________________________________________________________
    _________________________________________________________________
    ---------------------------------------------------------Submitted by
    Name_________________________________
    Phone ________________________________

    Date ___________________________
    E-mail ___________________________

    Has this person been contacted to determine their interest in being nominated?
    ____ Yes
    If yes, would he/she be willing to serve if elected? ____ Yes
    Thank you for your nomination!

    ____No
    ____ No

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