Boards and Commissions Leadership Institute Nominator Form
Nominator First Name
Nominator Last Name
Nominator organization (If applicable)
Nominator address (if applicable)
Applicant First Name
Applicant Last Name
Targeted board, commission, and committee list 2023-2024
Priority board, commission, or committee targeted for applicant:
Additional board, commission, or committee targeted for applicant:
Relationship of applicant to nominator:
Please indicate what types of support, if any, your organization or you as a nominator are willing to provide the applicant once they are seated (check all that apply):
Regularly scheduled check‐ins around policy and project topics.
Work space, computer, or other office equipment support.
Release time (if employee) for work on a board or commission that furthers your organization’s mission.
Policy briefings for nominee and other cohort members, as appropriate.
Upload Nomination Letter
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