Election Nominee Form National Lesbian Gay Journalists

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National Lesbian & Gay Journalists Association (NLGJA) Election Nominee Form Deadline: July 31, 2009 This form has been created to compile candidates’ professional information more efficiently and quickly and to vet individual qualifications more effectively. Nominees for NLGJA national offices – both new candidates and those planning to run for reelection — shall be required to submit this application detailing, among other things, their journalism experience, current employment status and a statement explaining why they are seeking office. The elections chair and staff shall use the information to confirm the nominees' membership status and eligibility for office. Upon request, non-confidential information in the application shall be made available to the voting membership. Officers and board director candidates must be full or basic members “who derive income from the gathering, editing or presentation of news or editorial content.” Nominees must have been paid-up members for at least one year by the time of the election; candidates for executive committee seats (President, Vice President, Secretary and Treasurer) must also have served as a board member or chapter president for at least one year as of the election. Please note that the platform section will be used as your official statement that will be distributed to our voting membership. Name:______________________________________________________________ Chapter Affiliation:_________________________________________________ Home address:______________________________________________________ E-mail address: Day phone number: Evening phone number: What NLGJA office are you seeking? Select one: Board of Directors Treasurer Secretary Vice President for Broadcast If seeking nomination for an Executive Committee position (Treasurer, Secretary, Vice President or President), are you currently or have you previously served as a board member and/or chapter president? Yes No If yes, what years did you serve as a board member and/or chapter president? Your employer: If you are self-employed or a freelancer, simply state “Self-employed” or “Freelance,” as well as your company name, if applicable. ______________________________________________________________________ Your title/position:__________________________________________________________ Do you: “Derive income from the gathering, editing or presentation of news or editorial content?” Yes No Below, please supply a statement discussing why you wish to run for the above mentioned position. This will serve as your official “platform” that will be provided to our voting members. Your statement must not exceed 200 words. _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ The Election Nominee Form must be submitted by July 31, 2009 to Elections Chair Phillip Pina at ppina@pioneerpress.com or to the national office (Elections Chair, NLGJA, 1420 K St. N.W., Suite 910, Washington, D.C. 20005). Promptly after the close of nominations, the Elections Chair shall gather all nominee information and determine the eligibility of each candidate. If any candidate is determined to be ineligible, the Elections Coordinator shall notify the Executive Committee, which shall confirm or overrule a determination of ineligibility.

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