Board of Directors Nomination Form | Huber Heights Regional Chamber of Commerce

1. Is this a self-nomination?

Yes, I am nominating myself.
No, I am nominating someone else.

SECTION 2: NOMINEE INFORMATION

2. Nominee's Full Name

First

Last

3. Job Title / Position

4. Business or Organization

5. Email Address

6. Phone Number

7. Is the nominee currently affiliated with a Huber Heights Regional Chamber of Commerce partner in good standing?

Yes
No
Unsure

Only individuals affiliated with a current Chamber partner in good standing are eligible to serve.

SECTION 3: NOMINATION DETAILS

8. Why do you believe this individual would be a strong addition to the Board of Directors?

9. What experience, skills, perspectives, or community involvement would this individual bring to the Board?

10. Areas of Chamber work that are of greatest interest to the nominee (check all that apply):

Please specify other area of interest.

SECTION 4: COMMITMENT TO SERVE

Board service requires active participation. Directors are expected to participate in Board meetings, Chamber programs and events, committee initiatives, and opportunities to support and engage our Chamber partners.

11. If selected, is the nominee willing to serve the full three-year term from March 1, 2027 through February 28, 2030?

Yes
No

12. Does the nominee understand and accept the expectation of active participation as a member of the Board of Directors?

Yes
No

SECTION 5: PERSON SUBMITTING THE NOMINATION

13. Your Name

First

Last

14. Business / Organization

15. Email Address

16. Phone Number

17. Have you discussed this nomination with the nominee?

Yes
No

SECTION 6: FINAL ACKNOWLEDGMENT

I certify that the information provided is accurate to the best of my knowledge and understand that submission of a nomination does not guarantee appointment or election to the Huber Heights Regional Chamber of Commerce Board of Directors.

I agree