E9-1-1 Institute
  

 


Board of Directors Election 2007/2008
DEADLINE FOR NOMINATIONS IS
 Monday, September 14, 2007
 

E9-1-1 Institute Board of Directors

*Nomination Form – 2007/2008

The E9-1-1 Institute encourages all nominations to be submitted
on-line, however they can also be submitted by email or by fax.

  • Website:  Submitting nomination through the E9-1-1 Institute website is encouraged and preferred.  See below.
     
  • E-Mail:   Please send to the E9-1-1 Institute at  
                       contactus@e911institute.org
     
  • Fax:      Please fax to the E9-1-1 Institute at 701.794.3356

Please attach a current resume or biography of the nominee.  The deadline for submitting nominations is Monday, September 10, 2007.

Additional  materials that can not be submitted on-line should be to be submitted to E9-1-1 Institute by email or fax.  See above for address and number.

E9-1-1 Institute Board of Directors Nomination Form

Nominee Profile:


 

 

 Dr. Mr. Mrs. Ms. Miss
Other

Specify:

Name

Address:

City: State:

Zip Code: 

Email Address: 

Office Telephone:

Home Telephone:

Mobile:      

Fax:              

Employer: 

Position/Department:

Current Member of the E9-1-1 Institute?

Yes No   Do Not Know
Check the box which represents which category you are nominating this person for:  Non-Profit Organization
            (1 position open)

 Small Telecommunication Provider
            (1 position open)

 Vendor/Integrator/Software Company
             (2 positions open)

 IP Enabled Service Provider
            (1 position open)

  Membership at Large
            (1 position open)
 
Please provide 2-3 paragraphs (bio) summarizing your nomination.  Please include information regarding his/hers achievements as well as all other pertinent information regarding the nomination.
Contact Information for Nominator: Dr. Mr. Mrs. Ms. Miss
Other

Specify:

Name

Address:

City: State:

Zip Code: 

*Email Address (Required for validation): 

Office Telephone:

Home Telephone:

Mobile:      

Fax:            

Employer: 

Position/Department:

Current Member of the E9-1-1 Institute?

Yes No  Joined on

Printed Name:

Date of Submission:
   
Additional Items: Please List Other Materials You Sent &  How Sent:

Items Sent:

Sent by: 

If submitted electronically, nominator may type his/her name as long as the form is submitted from his/her email address.
   
  Nomination Form - Word Format to Email
                                 Adobe formation to print and fax
                           
 

Thank You for Your Nomination!
   
 


 
 
 

 
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