Board of Regent Nomination Form
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Thank you for your interest in serving or nominating someone to serve on the ACPM Board of Regents. Please complete the following form in its entirety.

PLEASE NOTE: Candidates will be reviewed based on the competency areas listed below, but depending on the needs of the board, some competencies may be of greater need. Candidates do not need a high level of skill/experience in each competency area.

The deadline for receipt of nomination materials is December 7, 2015

Candidate Information

Collective Skills/Competencies

The Strategy & Board Development Committee will use the following collective skills/competencies as a framework to identify qualified candidates for the ACPM Board of Regents. Please select your level of skill in each area and describe experiences and examples of how you have demonstrated these competencies in the past. The committee is looking for a broad range of competencies, therefore it is not necessary for all candidates to have experience in all competency areas.

Leadership Skills
Professional Skills

Nominator Information
​(If you are self-nominating or have been nominated by an ACPM Committee, please skip)

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