Society of Insurance Trainers Educators - Site Board of Directors Application

* First Name

* Last Name

* Designation

* Title/Position

* Company

* Address

* City

* State

* Zip Code

* Phone

* Email

What position do you currently hold? Please select a position and answer the question corresponding to that position.

* What SITE positions have you previously held? Please include year(s) of service.

Board position in which you are interested for next term year:

Why you feel qualified to serve in this position:

Describe your achievements and volunteer activities that have contributed to SITE: (include meeting or conference planning, board or committee service, presentations conducted, articles submitted, etc.)

Describe at least three goals you would like to achieve in the new position you seek:

Please list the previous SITE conferences you attended:

I have reviewed a copy of the SITE bylaws (available on the website) and:

Yes, I will have company support including financial support to attend board meetings and annual conference.
Yes, I will have company support but not financial support to attend the meetings or annual conference.
No, I will not have any company support.

Any other information you would like to provide in connection with your nomination:

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