CAEYC Nomination Form

Please print out this nomination form, then fill it out, and mail it no later than November 30, 2012 to:

            CAEYC
            PO Box 631326
            Highlands Ranch, CO 80163-1326

(Please print or type)

NOMINATION FORM for CAEYC Board

Name to be considered:   ____________________________________

Contact information: phone (h) __________________ (w) ____________________

Address: ___________________________________________________________

Email: _____________________________________________________________

The following positions are open for election – please check the position for which this person is best qualified:

_____ Vice President

_____ Secretary

_____ Member-at-large

Why is this person qualified to serve in this capacity?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Occupation: _______________________________________________________

Years in the field: _______________

AEYC activities:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

How does this person meet the goal of establishing and maintaining a board composition  reflecting diversity in ethnicity, professional setting and experience, gender, age, and geographic area?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Has this person agreed to be considered?  Yes ______     No ______ 

Questions or problems regarding this web site should be directed to CAEYC@ColoradoAEYC.org.