EAST BAY AA, INC - Nomination Form (2024)

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To be completed by the candidate OR the individual nominating a candidate.

Name

Personal Phone

Current Occupation

Sobriety Date

Home Group

Previous Volunteer Experience

Previous AA Service

Please check any of the following skills or experience that the nominee possesses.

Finance, accounting

Management, business administration.

Community engagement, local/state govt., nonprofit management.

Fundraising, development

Public relations, communications

Legal

Human Resources

Working with diverse populations

Working knowledge of the 12 Traditions of AA

Other:

Affiliations or organizations, especially positions of leadership (e.g., professional, civic)

Why NOMINEE would be a good addition to the EBI Board of Directors OR Why I would be a good addition to the EBI Board (Self-nomination)

(Please complete this section if you are nominating yourself):
1. Do you have any current or potential conflicts of interest that should be considered.
E.g. · serving in a paid position in AA or another twelve step program wherein, the Board of Directors are unpaid service positions.
· serving in a paid position in a recovery center.
2. Do you understand, or are willing to learn about, the fiscal and legal oversight functions of the board of directors under EBI bylaws?
3. Can you meet the commitments of the board member job description? *

(Please complete this section if you are nominating someone else): Please input your name, phone number, and email.

1. Have you told this person of your intent to nominate them?

2. Has this person told you they are willing to serve if elected?

3. Are you aware of any conflicts of interest that would keep this person from serving?

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