2018 Board of Directors Nomination Form
The Renal Network/ESRD Network 10
This nomination is for a three-year term of elected office on the Board of Directors (BOD) of The Renal Network/ ESRD Network 10, covering the state of Illinois.
• Term begins January 1, 2019
• Term Ends December 31, 2021
The Board of Directors (BOD) is the primary administrative committee of The Renal Network. The BOD members use their expertise to direct all activities of Network 10, including oversight of contract budget, and activities of the Medical Review Board and Patient Advisory Committee.
The deadline to submit nominations is Friday, October 12, 2018.
1. I would like to be nominated in the following category (choose one option only):
At-Large Member (3 positions open). The At-Large members can be from any discipline caring for the renal patient, including administrator, dietitian, information management professional, nurse, nurse practitioner, social worker, or technician
2. As a nominee, please include a personal statement, briefly staying your reasons for seeking election to the Board of Directors. Be sure to include information on your current position, credentials, and work experiences.
NOTE: Nominees for the Board of Directors MUST HAVE prior volunteer experience on a Network board or committee.
To complete the nomination process, please upload your CV or resume.
You may also email your CV or resume to Bridget Carson, Executive Director, The Renal Network, at email@example.com.
Send me a copy of my responses
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