Pi Chi Omega Leadership Interest Form

Pi Chi Omega is a non-profit organization, governed by an elected board of directors, supported by appointed committees, and lead by elected officers. Any Active, Lifetime or Legacy Pi Chi Omega member in good standing may be nominated to serve as a board or committee member. Nomination forms should be completed, with the approval of the member nominated, if submitted by someone other than the nominee. Pi Chi Omega's nominating committee will review all Board of Director nominations, and recommend approved candidates to the general membership. Election of new Board Members is conducted at our Annual Meeting each year, in accordance with the Association’s by-laws. Members interested in serving on an appointed committee are also invited to submit a nomination form. Committee appointments are the responsibility of Pi Chi Omega’s president.

I am interested in serving in the following capacity:

Interested in serving on the Board of Directors
Interested in serving on an Pi Chi Omega Committee
If you selected to serve on a committee, please select the committee(s) you would like to be involved in:
Awards Committee
Bylaws Committee  
Finance Committee 
Industry Grant Program Committee 
Membership Committee 
Marketing and Website Committee 
Pi Chi Omega Gives Back Committee 

Contact Information

Nominee Name:
Title:
Organization Name: 
Street Address
City:
State/Province:
Zip/Postal Code:
Country:
Work Telephone:
Cell Phone:
Email:

Tell us about yourself by answering the following, or email your Curriculum Vitae or resume to office@pichiomega.org:

Career History

Professional Positions and Companies Served (earliest to current):
Year You Entered the Industry:
Company Name:
Number of Years:
Title:
Job Function:
Company Name:
Number of Years:
Title:
Job Function:
Company Name:
Number of Years:
Title:
Job Function:

Educational Background

School:
Degree/Certificate:
School:
Degree/Certificate:
School:
Degree/Certificate:

Additional Activities

Memberships in Professional or Civic Organizations:
Titles Held/Awards Received:
 
Skills/Interests/Talents:
Describe your most significant professional accomplishments to date: 
Why do you wish to serve as a Board or Committee Member?
Sponsor Name (if this form is being submitted by someone other than the person named above):
Date: ?