Board of Directors Nomination Questionnaire Board Intent Please accept the completion of this form as my interest in serving on the Board of Directors of the Port Orange South Daytona Chamber of Commerce. I understand there is always more interest than space available to serve and a nominating process is intended to identify a diverse group of leaders to represent the demographics of our membership. All Board Members are elected in accordance with the Chamber By-Laws. Nominations will be considered and vetted by the Board Development Committee for approval by the membership and ratification by the Board. Name First Name * Last Name * Company Name Phone Number Personal Email Address Chamber Member Since: Enter the year you became a Chamber Member Please check the following commitments that you are willing to fulfill as a Board member Must be a current member of the Chamber in good standing for at least 1 year 2) Assist with retention of members when needed by placing call(s) to members 3) Recruit or refer new members to the Chamber 4) Actively attend events as your schedule allows 5) Attend annual board orientation 6) Abide by the conflict of interest and Code of Ethics policy of the Chamber 7) Consistently and clearly act as an advocate of the Chamber Please answer the following questions. Why do you want to serve on the Board? * What skills, ideas, or resources can you contribute to help strengthen the Chamber? * How has the Chamber best served our business community? * Is there any other information you would like us to consider with your application? * I have read, understand, and agree with the Board responsibilities as written above. By typing my name, I intend to sign this document. First Name * Last Name *