Application for the MCSC Board Year 2012-2013

If you are interested in an elected board position on the MCSC board, or know someone who would be a great candidate, please fill out this nomination application. No previous experience is required. You just need vision, enthusiasm and a desire to contribute to the club and our community. If you are submitting this form for an ELECTED position, please do so by February 14th for review by the Nominating Committee. For all other positions, there is no deadline. However, we would like your application submitted by the end of April so that you can take part in the MCSC Installation of Officers Ceremony during the May Luncheon. Elected Positions First Choice_______________________ Second Choice_________________________ Appointed Positions First Choice_______________________ Second Choice_________________________ Personal Information Name____________________________ Phone Number_________________________ Address_________________________________________________________________ Email address____________________________________________________________ Current and/or Previous Club Experience Club, Position, Date & Location______________________________________________ Club, Position, Date & Location______________________________________________ Club, Position, Date & Location______________________________________________ Other Related Experience

Declaration Of Intent: I have read the job descriptions for the positions for which I am applying and know what is expected of me during my tenure. (For complete list of job descriptions, please go to the Board Members-Constitution & Bylaws at mcscftirwin.org). Signature_________________________________________ Date________________________