Wufoo
2021-2022 MPI St. Louis Board Interest Form
To be eligible for nomination and election to the MPI St. Louis Area Chapter Board of Directors, you must answer all questions below and attached your signed pledge of commitment form by
Friday, December 4, 2020
. All members interested in chapter leadership are urged to submit this form for consideration.
1
Application Information
2
Statement of Commitment
Name
*
First
Last
Current Board Position (if applicable)
Employer
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Republic of North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Phone Number
*
###
-
###
-
####
Email
*
How many years have you been a member of MPI?
*
List your involvement in MPI during your membership, such as task force and committee participation, board positions, and international involvement.
*
List any allied professional organizations or civic roles that you actively support, and Board of Directors roles you have previously served on or will serve on during July 1, 2021 - June 30, 2022.
*
MPI St. Louis Area Chapter officers and directors represent the voice of the entire chapter membership. It is understood that joining the Board of Directors requires a minimum commitment of two years from the Chapter Member. With this in mind, please answer all questions that follow to portray your ideas for future growth, direction, and development of the Chapter.
Please indicate the position you are interested in by checking below. It is acceptable to note your interest in more than one position.
Click here for a complete listing of the position descriptions.
Are you applying for an Officer or Director position?
*
Officer
Director
OFFICERS
Any member in good standing, other than a Student Member, is eligible for nomination and election to any elective office. It is preferable that the member has served at least one term on the Board of Directors, as well as a committee chair position prior to that. Officers must attend all monthly board meetings and two board retreats. Officers will be encouraged to attend MPI's Chapter Business Summit (dates to be announced).
Select your Officer positions of interest:
President-Elect
Vice President, Finance
Vice President, Education
Vice President, Membership
Vice President, Communications
DIRECTORS
Any member in good standing, other than a Student Member, is eligible for nomination and election as a Director. It is preferable that the member has served at least one term as a committee chair. These individuals must be committed to helping the chapter grow via its committee activities and through the development of new, active members. Directors must attend all monthly board meetings and two board retreats.
Select your Director positions of interest:
Director of Media & Communications
Director of Monthly Programs
Director of EduCon
Director of Special Events
Director of Member Care
Director of Member Recruitment
1
/
2
Do Not Fill This Out
This site is protected by reCAPTCHA Enterprise and the Google
Privacy Policy
and
Terms of Service
apply.