BCSP Nominations Submission Form

Please complete the following questionnaire and upload a copy of your current resume. The nominating deadline is June 15, 2021. Qualifications for Director position: Must have held the CSP for a minimum of five (5) years and be in good standing Being free of potential conflicts of interest, Ability to comply with the BCSP Fiduciary Policy, knowledge of the BCSP Bylaws, Having at least five (5) years of senior leadership experience Breadth of experience in the SH&E practice Also, any former BCSP Director who has not served on the Board within the past seven (7) years may apply to be considered as a nominee

First Name*

Last Name*

Email Address*

Why are you interested in serving on the BCSP Board?*

What is your primary industry?*

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Other:

If you selected Other in the question above, please list your industry here

Current Employer*

Current Position Title*

What are your roles and responsbilities in your current position?*

Describe any previous experiences you may have had in a volunteer leadership role with a professional organization?*

Include any organizational achievements while you served

What position(s) have you served in a senior management role?*

Describe the skills you bring that are needed in such a role for success

Enter your educational background*

Provide degree(s) (AS, BA/BS, MS, Ph.D.), school name, and program

List all credentials that you currently hold*

Provide any additional comments that the Nominations and Board Development Committee should consider

Do you see any potential conflict of interest that could adversely affect your position on the BCSP Board?*

Refer to BCSP Fiduciary Policy and BCSP Bylaws

Select or enter value

If yes, please explain

Enter your submit date*

Please upload your resume*

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