Name:

Job Title:

Institution/Organization:

Telephone:

Email:

Nominated by (*Note* Self-Nomination is Permitted):

Nominated for the role of (e.g. Director, Treasurer):

Why is the nominee interested in serving on the CACEE National Board of Directors (Suggested Length: 150 - 300 Words)?

Please provide a brief biography of the nominee with particular emphasis on knowledge, skills, and expertise that make them a great candidate for the CACEE National Board of Directors (Suggested Length 150- 300 Words):

Please outline the nominee's involvement with CACEE (Point Form Summary):

Is the nominee able to commit at least 6 hours per month to volunteering with CACEE?
== choose one == Yes No