board-vacancy

Board Vacancy Application

Full name

Phone

Address 1

Address 2

City

State

Zip

Work Experience: Describe how your work experience has prepared you to be a valuable addition to the DMEA Board of Directors.

Educational Background: Illustrate how any formal and informal education and/or training would benefit you as a Director.

What makes our purpose and mission meaningful to you?

How will your values align with DMEA's shared values?

Explain your beliefs on a Director's role and your view on governance versus management.

What unique ability or knowledge do you think you would bring to the DMEA board?

Summarize any previous board experience.

Is there anything about DMEA that you would like to change? If yes, what and why?

Photo

Please attach an individual photo of yourself. This photo may be printed or released for DMEA communication purposes. 5MB max file size.

Policy 103: Director Duties and Standards of Conduct

Please attach your completed Policy 103: Director Duties and Standards of Conduct. 5MB max file size.

Policy 105: Conflict of Interest

Please attach your completed Policy 105: Conflict of Interest. 5MB max file size.

If you do not submit the items above with this application, they must be emailed to amy.taylor@dmea.com by 5:00 p.m. on Monday, August 31, 2024.

I certify I am not a DMEA or Elevate employee now or during the previous three years.Complete only if applicable: I certify that I am a former DMEA or Elevate employee, more than three years ago, and was not involuntary separated from the company.I certify that I am not a relative of a current DMEA or Elevate employee. (Relative is defined as a spouse, sibling, parent, child, or the spouse of a sibling, parent, or child.)I certify that in the past five years I have not been convicted of, or plead guilty or no contest to, any of the crimes listed in DMEA Bylaws Section 4.3 (g)I certify that in the previous three years I have not filed a petition for bankruptcy or had a foreclosure proceeding filed against me.Submission: By submitting this form I give my permission for DMEA to publish any or all information listed above. I understand my statements and/or contact information may be released to the public through media, member, or public interest group inquiries.I certify that I am over the age of 21, and I am a member of DMEA in my individual capacity and not a representative of a third party.