MPIGNY 2020-21 Board of Directors Application Form

1. Name

2. Title

3. Company Name

4. Company Address

5. Work Phone

6. Mobile Phone

7. Email

8. MPI Member ID #

9. MPIGNY Member Since:

10. Membership Category (Planner, Supplier, Student)

13.

PLEASE COMPLETE THE FOLLOWING QUESTIONS ON A SEPARATE DOCUMENT IF NEEDED.

What skills and experience do you identify as your strengths, enhancing your value as a member of the MPIGNY Board of Directors? Please provide examples when these skills and experiences were demonstrated.

14. What do you think are the most important goals of MPIGNY, now and for the future?

15. Summarize your single best contribution as an MPI member to the Greater NY chapter or another MPI chapter with which you have been involved.

16. Please share any other information that you believe may help the Nominating Committee determine your qualifications for the position for which you are applying.

17. References: Please provide us with the names, company affiliation, phone number and email address of two references who can attest to your leadership capabilities. At least one must be a member of MPI.

Reference #1:

Reference #2:

18. MPI Greater New York Chapter 2020 - 2022 Board of Directors Candidate Consent Form for:

____________________________________________________________________________________

(Insert Name)

General Responsibilities of Board Members:

• Attend monthly board meetings.

• Oversee submission of a monthly status reports for assigned committees.

• Attend two Board of Directors Retreats taking place in May and Jan each year.

• Attend MPIGNY monthly events and committee meetings.

• If selected, represent GNY at the MPI Chapter Business Summit (CBS) hosted by MPI in conjunction with WEC.

This document will verify that I am familiar with the current job descriptions and requirements to serve on the MPIGNY Board of Directors. If elected, I have the professional and personal support necessary to allow me to serve in this capacity, and I am willing to devote the time and energy to fulfill this office for the term 2020 – 2021 or 2020 – 2022, as applicable.

Applicant Signature:

Date:

Please complete no later than January 10, 2020.

For additional information or questions regarding the application process, please contact Kathie Stapleton, Executive Director at 914-762-1456 or by email at kstapleton@mpigny.org