AASLH
A m e r i c a n A s s o c i a t i o n f o r S t a t e a n d L o c a l H i s t o r y
1717 Church Street · Nashville, Tennessee 37203-2991 · 615 / 320-3203 Fax 615 / 327-9013


AASLH NOMINATING COMMITTEE

PROSPECTIVE NOMINEE INFORMATION

For Council and Nominating Committee
(10/2006)

This form is to be completed by prospective nominees for the above positions. Please complete the form and return it to your nominating committee contact immediately. You may attach a resume or additional information if you wish.

Prospective nominees have not yet been selected for the AASLH slate. This form will be used by the Nominating Committee to select final candidates for the slate.

Completing this form in no way commits the Nominating Committee to putting your name on the slate. However, it does signify your agreement to run on the AASLH slate should you be chosen as a final nominee. If you choose to not be considered for the slate but are willing to be considered for the future, please complete the form and check here. ________

Please check the appropriate box for the position you have been suggested to fill:



___Council Member ____Nominating Committee Member

Name: __________________________________________________________________

Title: ___________________________________________________________________

Organization: ____________________________________________________________

Office Address: __________________________________________________________

________________________________________________________________________

Office Phone: ____________________________________________________________

Office Fax: _______________________ E-mail: _______________________________

Home Address: ___________________________________________________________

Home Phone: _____________________ Home Fax: ____________________________



Are you an AASLH member? _____yes _____no
Is your organization an AASLH member? _____yes _____no


EDUCATION
Higher Education (beyond high school)

Date of Graduation Degree Institution
(Most recent first)




EMPLOYMENT EXPERIENCE

Employer Position Years
(Most recent first)







YOUR CURRENT ORGANIZATION AND RESPONSIBILITES

Name: _________________________________________________________________

Type: __________________________________________________________________

Number of full time staff members currently employed: _________________________

Annual operating budget: __________________________________

Briefly describe organization:







Briefly describe your responsibilities at your organization:










AASLH does not cover the travel expenses for its business and committee meetings. Would you or your organization be willing to support your travel expenses to attend the Council meeting, committee meetings, and the annual meeting? Yes ______ No ______

LEADERSHIP AND SERVICE IN AASLH
What involvement have you had with AASLH (committee, faculty, annual meeting presenter, etc.)?

Type Year(s)
(Most recent first. Use an additional sheet if necessary)











LEADERSHIP AND SERVICE IN OTHER PROFESSIONAL ORGANIZATIONS
What major positions or roles have you had in professional organizations other than AASLH, including state, regional and national history organizations and/or affiliates?

Type Year(s)
(Most recent first, use an additional sheet if necessary)












Name (please print): ___________________________
Signature: ___________________________ Date: __________________