Board Vacancy Application

Name*

Email*

Phone*

Address*

Apartment, suite, etc.

City*

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.

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Max file size 10MB.

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Policy 103: Director Duties and Standards of Conduct*

Please attach your completed Policy 103: Director Duties and Standards of Conduct.

 Upload File

Max file size 10MB.

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Policy 105: Conflict of Interest*

Please attach your completed Policy 105: Conflict of Interest.

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Max file size 10MB.

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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.*

Thank you! Your submission has been received!

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Board Vacancy Application

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