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2. This questionnaire is designed to summarize the qualifications for nomination candidate consideration for the IPELRA Board of Directors. Please complete the following information. If needed, you may add pages to expand your answers. Thank you for your interest in serving the Illinois Public Employer Labor Relations Association.
4. Name*
5. Title*
6. Agency*
8. Employer Address*
9. City*
10. Zip*
12. Employer Phone Number*
13. Personal Phone Number*
14. Years in Current Position
16. Fax Number
17. Work Email Address*
18. Personal Email Address
20. Years as an IPELRA member?*
24. What professional skills, knowledge, abilities, and experience could you provide as a member of the Board of Directors?*
26. What IPELRA activities, services, or assignments have you previously been involved with (ex: committee service, training, etc)?*
28. If you were selected for the Board, what three goals would you establish for IPELRA during your term?*
30. Participation as an IPELRA Board Member may be time consuming. Therefore, it is critical that your employer supports your involvement with IPELRA.
32. Does your employer support your involvement with IPELRA?*

    1. Yes

    1. No
34. Will your employer allow you time off to travel to or participate in Board and committee meetings, as well as training events?*

    1. Yes

    1. No
38. Please list at least three professional references whom we can contact to support your professional qualifications for candidacy to the IPELRA Board.
40. REFERENCE #1
42. Name*
43. Title*
44. Phone Number*
46. Email Address*
47. How do you know this reference?*
49. REFERENCE #2
51. Name*
52. Title*
53. Phone Number*
55. Email Address*
56. How do you know this reference?*
58. REFERENCE #3
60. Name*
61. Title*
62. Phone Number*
64. Email Address*
65. How do you know this reference?*
67. Is there anything else you would like to share in support of your candidacy?
71. Upload a Letter of Interest to Serve*
72. Upload Resume*
74. Someone from the Nominations Committee will contact you. If you have any questions, please contact the IPELRA Secretariat at ipelra1978@gmail.com. Thank you for your interest in serving IPELRA.
Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit Submit and Print

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