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Candidate Application for 2016 Nominations Committee
Please see Nominations Committee job descriptions for relevant information about available positions. Submission deadline is October 20, 2016.
1) Name of Applicant:
2) Membership Status (Regular, Affiliate, Associate, Non-Primary, Retired):
3) Position for which you wish to be considered: ___ NC Chair ___ NC Member
4) Please provide your contact information:
Name Middle Last Name
City State Zip Code
Daytime Mobile/Other Evening Mobile
5) How long have you been a NYSSA member?
I have been a NYSSA member for _______ years and a Regular Member of NYSSA (this means CFA charterholder) for _______ years.
6) Please list your NYSSA experience, including leadership positions, with the year(s) served in each position (i.e., Global Investing Committee, Chair, 2011-2013; Vice Chair, 2009-2011; Socially Responsible Investing, member, 2007-2011, etc., Board service, Toastmasters, SEMI mentorships, Global Research Challenge involvement, speaking roles at NYSSA events).
7) *Personal Statement: How do you plan to ensure the NYSSA Nominations process is conducted with fairness, integrity and rigor? (500-1000 characters including spaces)
*Note: Personal Statement and Experience/Qualifications of successful candidates as drafted on the application will be included on the ballot sent to all members.
8) Please provide your bio.
I am a Member in good standing of NYSSA. I have personally completed this application, and all of the information contained in this application is true. I have read the job description of the position for which I am applying. I understand what my duties and role would be and, if selected as a candidate for the role and approved by the membership of NYSSA, I am willing to make the commitment of time and energy required for service on the NYSSA Nominations Committee.
☐ I, , am submitting my application via e-mail. The checked box constitutes my signature affirming the information in the Applicant Certification above.
NOTE: If you are submitting your application via e-mail (
mailto:firstname.lastname@example.org:email@example.com), you must check the box above, which will be the equivalent of signing the Applicant Certification.