MiALA Board Nomination Application
Please fill out the following information if you are interested in nominating yourself or another member to serve on the MiALA board.

If NOT self-nominating (or, if nominating a colleague), please fill in as many fields as possible. If you don't have the relevant information about your nominee, please type Unknown.

First Name:  (Required)
Last Name:  (Required)
Email:  (Required)

Name and email address of nominee (only if this is NOT a self-nomination)

I am interested in running for the following MiALA board position  (Required)
Choose 1
Brief biography

List prior leadership experience  (Required)

Why would you like to serve on the MiALA board?  (Required)

Additional information that should be considered regarding your application for nomination to the board.

I have read and understand the expectations of serving on the MiALA board.
Yes
No
Attach photo image file here. Please note that this photo will be included in the candidate information on the MiALA website.  (Required)
Please enter the letters you see in the image above