Pitt Black MBA Network (PBAN) Self-Nomination Form - Board Term 2019-2020
PLEASE REVIEW THE BELOW INFORMATION, PRIOR TO COMPLETING THE FORM

Welcome to the online application for the Pitt Black MBA Network (PBAN) open Officer & Board of Directors positions for the term 2019-2020. Before completing the application, you are advised to first read the PBAN ByLaws and to discuss any eligibility concerns and/or PBAN goals with a current PBAN member.

Use this link to view the ByLaws: https://drive.google.com/a/pban2010.org/file/d/0B1AAyY3OIdbYbWNLYUJUa3hOR0E/view?usp=drivesdk

Please note: Current Katz students are welcome to seek board membership post-graduation.

General Nominations and Elections Timeline:

1. Self-nomination application open until 08:00am on November 21, 2018

2. Candidate interviews complete by November 27, 2018

3. Slate confirmed by November 28, 2018

4. Online election for PBAN membership, November 30-December 15, 2018

5. Election results communicated via email, Katz, Pitt, and PBAN publications & LinkedIn

6. Officers & Board Members ceremonial installation at the 1st General Body Meeting of 2019

Email address *
PBAN Application
Please complete the application below. Contact Roxanne Dye Grimes, Nomination & Elections Chairman at roxaka@aol.com with any questions.
General Information
First Name *
Your answer
Last Name *
Your answer
City of Residence *
Your answer
State or Province of Residence *
Your answer
Preferred Email Address *
Your answer
Secondary Email Address (optional)
Your answer
Preferred Phone Number *
Please enter contact phone number as xxx-xxx-xxxx
Your answer
Secondary Phone Number (optional)
Please enter phone number as xxx-xxx-xxxx
Your answer
Occupation and Employer *
Please provide both
Your answer
Employer's Web Address *
Your answer
Are you a KATZ Graduate? *
Year of Graduation from Katz/Pitt MBA Program?
Your answer
From which Katz/Pitt MBA Program did you graduate?
Where did you obtain your Undergraduate Degree? *
Enter school, city and state
Your answer
If you did not graduate from KATZ, please select your qualification for PBAN Associate Membership.
(select One)
Please share your intended personal goal in serving as a PBAN Officer or PBAN Board of Directors member. *
Your answer
Please select the position for which you are self-nominating. *
(select one or both. To select Secretary, you must also select Board Member or be a current Board Member)
Required
PBAN Experience
Have you previously served on the PBAN board or in any corporate/non-PBAN executive capacity (director level or above; paid or volunteer)? *
If yes, why did you leave the position?
Your answer
List the activities/projects you accomplished in the position.
Your answer
Prior Board/Pitt Experience
Are you currently active in an alumni role on behalf of Katz or the University of Pittsburgh? If so, what group and capacity? *
(If no, please enter 'Not Applicable.')
Your answer
Have you been involved in other community or non-profit organizations? If so, what group and capacity? *
(If no, please enter 'Not Applicable.')
Your answer
List the activities/projects your committee/position accomplished?
Your answer
Confirmation & Submission
Please submit your bio, resume or LinkedIn Profile. *
You may provide any or all in text format, as a link to an online version or email to the VP of Administration, Brandon Spires at bspires0@gmail.com. Note, by sharing the requested information you understand and consent to the information becoming a part of the online ballot distributed.
Your answer
Confirm you have read the PBAN Bylaws and meet the criteria for the desired position as stated in Article III, Section 1 and/or Section 2; Article IV, Section 2 and/or Section 3; and Article V, Section 1. *
You must meet the criteria in the named ByLaw sections in order to proceed with PBAN Officer or Board of Directors candidacy.
I affirm my understanding that by completing this online application, PBAN is in no way obligated to submit me for the slate of candidates, should I not qualify for candidacy per the PBAN Bylaws and/or the findings of the Nominations and Election Committee. I affirm all information provided is true and accurate to the best of my knowledge. I agree to allow PBAN to confirm I attended Katz/Pitt MBA Program. *
If you choose 'No', your application will not be considered further.
A copy of your responses will be emailed to the address you provided.
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