Private Directors Association Membership Application
The key requirement for membership in PDA is that members are chosen on the basis that they have a demonstrated personal and professional integrity and possess the track record of being a leader and role model.

Leadership: Individuals who have demonstrated thought leadership and vision in their chosen field. Typical titles include Chairman, Director, CEO, CFO, COO, CLO/GC, Managing Director or Owner

Role Model: Being a supporter for good corporate governance and a willingness and ability to help other PDA members succeed.

When considering potential new PDA members, the Membership Committee is mindful of whether nominees have a career history that demonstrates these requirements and a history of principled decision-making and evidence of the nominees’ contribution to supporting and enabling leaders within their own spheres of influence.
Our typical member is either a current or past board member or executive officer of an organization or is a senior level executive who is board ready.

Prefix *
First Name *
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Middle Name
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Last Name *
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Suffix
Nickname
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Company Name
Your answer
Title
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Address 1 *
Your answer
Address 2
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City/State/Zip *
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Country/Country Mail Code *
Your answer
Email Address *
Your answer
Primary Phone Number *
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Secondary Phone Number
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Primary Chapter *
How did you learn about the Private Directors Association? *
Required
Were you referred by a member? *
If you answered yes, who referred you?
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Have you previously been a member of the Private Directors Association? *
Have you previously applied for membership with the Private Directors Association? *
What are your reasons for wanting to join the Private Directors Association? *
Required
Are you currently available for corporate board service? *
Please rate your experience in Strategic Planning. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Operations. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Finance. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in International Business. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Information Systems/Technology. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Enterprise Risk Management. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Marketing. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Human Resources. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Board Governance. *
1=Little to No Exposure | 10=Extensive Experience
Please rate your experience in Turnaround/Restructuring. *
1=Little to No Exposure | 10=Extensive Experience
Please provide details of your participation in board training institutes and/or courses. *
Your answer
Are you a Qualified Financial Expert? *
For definition: https://goo.gl/DFTvK2
Please summarize any cross-cultural and/or international experience that you have. *
Your answer
Which Private Directors Association committees would you be willing to serve on as a member? *
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