NOMINATION PROFILE FORM FOR AAEOPP OFFICE

PLEASE TYPE OR PRINT ALL REPSONSES LEGIBLY

Seeking Position

President:	Vice-President: Treasurer: Recording Secretary:

Contact Information

Last Name:	First Name:	Middle Initial:

Home Address:

City:	State:	Zip:

Work Phone: ( ) - Cell Phone: ( ) -

Email Address:

Institution/Agency:

TRIO Program(s):

Work Address:

City: State: Zip:

Phone: ( ) - Fax: ( ) -

Business Email Address:

Academic Information

Formal Education (Highest Degree Earned):

Year:

College/University:

Employment Information

Your current position (job title):

Length of time in current position:

Length of time at Institution/Agency:

Please list below your most recent full-time TRIO positions prior to your current position. State the position title(s), institutions or agencies, and length of time employed in each position.

Institution/Agency	Program	Title	Duration

List below any relevant full-time employment, outside of TRIO Programs:

Institution/Agency	Program	Title	Duration

Leadership Information

Describe below your experience/service as an elected officer, committee member, or other positions with AAEOPP.

Describe below your experience/service as a committee member, elected officer, or other positions with SAEOPP.

Describe below your experience with COE

(i.e. elective offices, committee appointments, financial contributions, etc.)

Length of time as a financial AAEOPP member:

Length of time as a financial SAEOPP member:

Personal Statements

Please provide detailed comments on the following topics:

1. What professional experience do you bring in relation to the office you seek?

2. What are your reasons for seeking this office?

3. What assets will you bring to the office you seek?

4. What is your vision for AAEOPP?

5. What civic and community involvement activities will you bring to the office you seek?

Statement of Understanding

By affixing your signature below, you affirm that you are an active professional member of AAEOPP; are aware of the duties and responsibilities of the office you seek; are able to commit the time and effort necessary to perform your duties effectively; and will be able to attend all required meetings of the association.

Nominee’s Signature: ______________________________________________________

Date: ____/____/________

Statement of Institutional Support

By affixing your signature below, you affirm that you are aware of the duties of this position; will permit your staff member to commit the time and effort necessary to perform the duties effectively; and you will permit your staff member to attend all required meetings of the association.

Supervisor’s Signature: _____________________________________________________ Date: ____/____/________

AAEOPP State Association Support

By affixing your signature below, you affirm that the nominee listed above is a financial member of the state Association.

Treasurer’s Signature: ______________________________________________________

Date: ____/____/________

This form must be received (not postmarked) before 12:00 midnight by February 20, 2017.

Send to: Pamela H. Thompson, AAEOPP Nominations Chair

Email: pamela.thompson1@aamu.edu (preferred)

OR

Pamela H. Thompson, Alabama A&M University, TRiO-Special Programs (Upward Bound)

4900 Meridian Street North, 332 Councill Hall

Normal, AL 35762

Office: 256.372.4702

FORM(S) MAY BE DUPLICATED AS NEEDED

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NOMINATION PROFILE FORM FOR SAEOPP OFFICE

Pam Thompson;Brandon Harris

2017-01-17

Pam Thompson

UAB Student Affairs