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IES Candidate Declaration Form

IES Candidate Nomination

Are you nominating yourself or another individual?(Required)

Self-nomination

Another individual

Nomination for Another Individual

Your Name (Nominator)(Required)

First Last

Your Email(Required)

Nominee Name(Required)

First Last

Nominee Email(Required)

Nominator Comments (optional)

Nomination for Office

Candidate Seeks Nomination for the office of:(Required)

Vice President (President-Elect): one year term beginning January 1, 2027

January 1, 2026 – December 31, 2027 as Vice President
January 1, 2027 – December 31, 2028 as President

Treasurer: two-year term beginning January 1, 2027

At-Large Director: two-year term beginning January 1, 2027

South Regional Director: two-year term beginning January 1, 2027

West Regional Director: two-year term beginning January 1, 2027

In addition to the office I’ve selected above, I consent to the Nominating Committee considering me for the following office(s):

Vice President (President-Elect): one year term beginning January 1, 2027

January 1, 2026 – December 31, 2027 as Vice President
January 1, 2027 – December 31, 2028 as President

Treasurer: two-year term beginning January 1, 2027

At-Large Director: two-year term beginning January 1, 2027

South Regional Director: two-year term beginning January 1, 2027

West Regional Director: two-year term beginning January 1, 2027

Please note that candidates are not required to consent to being considered for multiple offices.

Nominee Contact and Professional information

Candidate Name(Required)

First Middle Last

Candidate’s IES Membership #(Required)

Candidate Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Candidate Email(Required)

Candidate Phone(Required)

Candidate Company Name(Required)

Candidate Position/Title(Required)

Professional (i.e., work) Experience(Required)

IES Volunteer Leadership History

IES Section Leadership

Position Held

Dates of Service

IES District Leadership

Position Held

Dates of Service

IES Region Leadership

Position Held

Dates of Service

IES Board of Directors

Position Held

Dates of Service

Committee Service

Identify the positions and committees that you previously served on either with IES or with another professional society. Please list IES service first.

Committee Service

Committee Name

Full Member (Y/N)

Years Served

Chair (Y/N)

Years Served

Additional Information

Candidate is a member of the following other organizations (indicate any offices held):

Professional Recognition/Awards/Honors:

Hobbies/Interests (optional):

Document Uploads

Candidate's Position Statement(Required)

Recent Photo(Required)

Max. file size: 5 MB.

Signature

Candidate Signature(Required)

If elected, I am able to serve the Society in the position for which I am a candidate and will be able to fulfill the duties of the office (travel to, attend meetings, meet the requirements of the office with time and financial support). I also confirm that I have read the IES Candidate’s Handbook.

Your Name
Your Name
Your Name

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