2027 RESNET Board Member Application Name * Name First Name First Name Last Name Last Name Phone * Email * Mailing Address * Employer * Title/Position * Type of Business/Organization * Member Category * Provider Member Rater Member Associate Member Eligibility & Board Commitment * I am eligible to serve in accordance with the RESNET Bylaws and agree to comply with and uphold RESNET Code of Ethics. I understand that RESNET Board members serve a two-year term and that the Board meets virtually and in person. I am able to attend the RESNET Annual Conference and all required in-person Board meetings. I understand that I am responsible for arranging and covering all travel and related expenses associated with my attendance. I will annually sign and uphold RESNET’s Conflict of Interest policy. Please review and acknowledge each item above by checking the box. If you are unable to meet any item, briefly note the circumstances in the space provided. Notes on commitment or availability (optional) Why do you want to run for the RESNET Board of Directors, and what skills, experience, or perspective would you contribute? * 0 of 100 max words LinkedIn Pofile LinkedIn Profile OR upload professional biography below Professional Bio Drop a file here or click to upload Choose File Maximum file size: 268.44MB Upload professional biography OR provide your LinkedIn Profile above Conflict of Interest Disclosure * I have completed the required online RESNET Conflict of Interest Disclosure Form Signature * signature keyboard Clear By signing above, I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation may result in withdrawal of my candidacy or removal from the Board. I confirm my willingness to serve on the RESNET Board of Directors if reappointed, and to abide by RESNET's bylaws, governance policies, and Conflict of Interest policy. Submit If you are human, leave this field blank.
