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MLA Nominating Committee Election Information Form

Election Information Form

E X A M P L E – - NOT FOR USE

Elections forms may be found on the Section Council Web page, under Elections.

This is an example of a form that potential Nominating Committee candidates complete and mail to a designated Section Council representative prior to the MLA meeting. It both indicates a willingness to serve, if elected, and gives pertinent biographical information.  Actual forms and instructions are sent to the Section Chair and immediate Past Chair in early spring each year.

NAME:

CURRENT POSITION:

___________________________
Title

___________________________
Library

___________________________
Institution

___________________________
City / State

___________________________
Years of employment

CONSENT TO SERVE:

I am willing to serve on the 20xx MLA Nominating Committee, if elected, and understand that I must attend the 20xx Annual Meeting to do so. I have not served on the Nominating Committee as a voting member during the past five years, as stipulated in the Bylaws, nor am I an elected or candidate for an elected office. (Medical Library Association Bylaws, Article V, Section 2.D.).

___________________________
SIGNED / DATE

A form is attached for information on your MLA official activities. List most recent activities first. Please type or print.

Nominating Committee

Name:

MLA Official Activities:

National: List offices, committee memberships held with the last 15 years, most recent position first. Include the following information for each activity: office/committee name, position, term.

Section: same as above plus current section affiliations, first year of membership

Chapter: same as above plus current section affiliations, first year of membership

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