BUSINESS AND PROFESSIONAL WOMEN OF TENNESSEE, INC.( BPW / TN) OFFICIAL DATA FORM FOR MEMBER AT LARGE CANDIDATE FOR OFFICE
_____________________________________________________ Member at Large in good standing of the Business and Professional Women of Tennessee( BPW / TN), presents herself as a candidate for the office of ___________________________________________________ of the Business and Professional Women of Tennessee, Inc.( BPW / TN). Present business or profession ___________________________________________________________ Current BPW office, if any ________________________________________________________________ Previous State Service __________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Qualifications for Office __________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Tennessee local organization of which you were a member _____________________________________ Number of years of membership in a Tennessee BPW organization _______________________________ Date which you served as president _________________________________( for candidates for line officer)
Consent to Serve
I have carefully studied the requirements for office for which I am a candidate. Neither my job nor my membership in any other organization in any way prevents my support of the organization’ s objectives and policies, including active support of our state legislative platform.
I agree to serve as _______________________________________, if elected. I am able to give the required time to the duties of such office and there is nothing in my health or personal affairs to prevent my serving.
Dated this ____________ day of _______________________, 20 _____.
Return form in duplicate to: Nominations Chair. [ Candiates for Executive Committee offices submit photo. Attach bio and photo for publication.]
Candidate _____________________________________________________________________________ Address ______________________________________________________________________________ Place of employment: Name & Address ______________________________________________________ ______________________________________________________________________________________ Phones:( H) ________________________( B) _______________________( FAX)_____________________ Cellphone: __________________________________ E-mail: _____________________________________