Board Nominations Interest Form

Name:*
First Last
Professional Title*
Organization*
Email:*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Please select the board position you are interested in.*
- Vice President
- Treasurer
Bio*
Please provide a brief summary of your career and related experience. Include the number of years in arboriculture, any certifications/degrees, different positions you have held in a company/organization, any areas of special interest (finance, management, marketing, etc.).
How can you contribute to the MSA Board?*
Why do you think you would make a good board member?*
Please upload a picture.*
Preferable upload is in jpg format. Maximum file size is 32MB.
Disclaimer acknowledgement:*
By entering my first and last name in the space provided below, I confirm that 1). I have reviewed the job description for the position selected above and am prepared to fill a role if appointed/elected, and 2). If appointed/elected to a position, I will fulfill the requirements of this position to the benefit of the MSA membership.