Board Nomination Form - Rocky Mountain Council

Executive Board Nomination Form
Use this form to refer potential candidates for positions on the Rocky Mountain Council, Inc., Boy Scouts of America
(RMC) Executive Board of Directors. Members shall be selected so that the Executive Board represents diverse
population groups and can bring to its deliberation a variety of points of view, skills and experience, as well as access to
economic resources. The Nominating Committee meets quarterly and nominations are considered on a year-round basis.
Candidates for the RMC Executive Board must meet the following criteria:
Accept the principles, beliefs, and purpose of Boy Scouting;
Understand cultural, social and economic trends locally, statewide and nationally and their effect on Boy Scouting
and its activities;
Be available to attend board meetings as set forth by the members;
Be a minimum of 18 years of age at the time of election;
Be willing to make a significant contribution to the council and/or solicit significant gifts;
Submit a board application, BSA membership application (which includes permission to conduct a background
check), and other biographical information summarizing experience and education.
Name of Prospect: _________________________________________________________________________________
Phone number(s):___________________________________________________________________________________
Home Address:_____________________________________________________________________________________
City, State, Zip: _____________________________________________________________________________________
Occupation and Title: ________________________________________________________________________________
Name of Business: __________________________________________________________________________________
Business Address: __________________________________________________________________________________
City, State Zip: _____________________________________________________________________________________
Email address(es): __________________________________________________________________________________
Describe this prospect’s sphere of influence, and expand on each:
Local ______________________________________ State ______________________________________
Nationally __________________________________
Internationally _______________________________
This prospect was presented to the Nominating Committee by:
Your name : _______________________________________________________________________________________
Phone number(s):___________________________________________________________________________________
Home Address:_____________________________________________________________________________________
City, State, Zip: _____________________________________________________________________________________
e-mail: ____________________________________________________________________________________________
__________________________________________
signature of nominator
NOTES:
A person may nominate himself/herself. In any case, nominations will not be accepted anonymously.
This is a two-page form: both pages must be completed for the nominee to be considered for the Executive
Board.
Candidates not selected for board membership may be referred for task group appointments or other
volunteer leadership positions.

While serious candidates will be interviewed by a member of the Nominating Committee, it is important that you provide
as much information as possible in order for the Committee to determine how it will proceed with this referral. Please type
or print clearly, completing the biographical information to the best of your ability. Describe the nominee’s:
Functional expertise (ie finance, strategic leadership, public relations, etc.)
Previous and current board memberships (whether the boards are public, private or non-profit, and their position(s)
Previous and current civic and/or community involvement
Professional associations and club memberships
Describe why you think this person is an ideal board candidate:
Members of the executive board have broad range responsibilities as well as a duty as a fiscal agent of Rocky Mountain
Council. Some board members have functional areas of responsibilities, as described on the Council’s organizational
chart found on www.RMCBSA.org. These functional assignments are made when there is need, and when it is mutually
satisfying for the Council and the nominee. Is there a functional area of the board that you believe this person
would be most interested in?
Send this completed form in an envelope marked CONFIDENTIAL to: Nominating Committee Chair
℅ Rocky Mountain Council, Inc., BSA
411 S. Pueblo Blvd.
Pueblo, CO 81005
For use by the Nominating Committee Chair:
Received on:
___/___/___ Initials: ______
Introduced for discussion on: ___/___/___ Initials: ______
Final action on:
___/___/___ Initials: ______
Notes: