Forms MOL Data Form

BUSINESS AND PROFESSIONAL WOMEN OF TENNESSEE, INC.( BPW / TN) OFFICIAL DATA FORM FOR CANDIDATES FOR OFFICE
The _____________________________________ Business and Professional Women’ s Local Organization of _____________________________, Tennessee, presents _________________________________________
as a candidate for the office of _____________________________________ of the Business and Professional Women of Tennessee, Inc.( BPW / TN). She has been endorsed for such office by this local organization.
Current BPW office, if any ___________________________________________________________________ Previous State Service ______________________________________________________________________ ________________________________________________________________________________________ Qualifications for Office _____________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Date and local organization which you served as president _________________________________________
Number of years membership in a Tennessee BPW organization ____________________________________
________________________________________ LOCAL ORGANIZATION PRESIDENT
_________________________________________ LOCAL ORGANIZATION SECRETARY
Date ________________________________ Consent to Serve
Region ___________________
The duties of an elected officer for regional director of the state organization include attendance at executive committee meetings, state board meetings, planning meetings, regional meetings, and state conventions.
The duties of district director include conducting district meetings, attendance at meetings of the state board of directors, state convention, and regional meetings.
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 prevent my support of the organization’ s objectives and policies, including active support of our state legislative platform.
The _________________________________ Business and Professional Women’ s Local Organization has my
permission to submit my name as a candidate for the office of ______________________________________ of the Business and Professional Women of Tennessee, Inc.( BPW / TN).
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 also submit photo. Attach bio and photo for publication.]
Candidate ________________________________________________________________________________ Address _________________________________________________________________________________ Place of employment: Name & Address _________________________________________________________ Phones:( H) _______________________( B) ________________________( FAX)_______________________ Cellphone: __________________________________ E-mail: _______________________________________