NOMINATION FORM

Peoria Notre Dame High School Board of Trustees

GENERAL ELIGIBILITY: Individuals are qualified to serve as trustees who have a commitment to the mission of Catholic school education, who have a willingness to serve, and whose values and behavior are consistent with those of the Catholic Church. Roman Catholic trustees must be practicing Catholics in good standing with the Church. Employees of the school, their spouses, and members of their households shall not be eligible for appointment to the board of trustees.

 

Name of Nominee

___________________________________________________________________________

 

Address

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City Zip

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Phone Number (H) (W)

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E-mail

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Parish City

__________________________________________________________________________________

 

Profession/Professional Skills

__________________________________________________________________

 

Employment

________________________________________________________________________________

 

Firm

_________________________________________________________________________________

 

Position

______________________________________________________________________________

 

Did the nominee attend Catholic school? YES NO

 

If so, what school[s] and what grades?

____________________________________________________________________________________________

Did [Are] the nominee’s children attend[ing] Catholic School(s)? YES NO

 

If so, what school(s) and what grades? ____________________________________________________________________________________________

Volunteer Experience (include service to a parish, Catholic school, & other)

 

What gifts/talents/experience might the candidate contribute to the Peoria Notre Dame Board of Trustees?

 

 

 

Time & Interest: Does the person have the time and interest to participate on and contribute to the work of the Peoria Notre Dame Board of Trustees? Please explain.

 

 

 

Explain your reason for suggesting this person as a potential member of the Board.

 

 

OTHER COMMENTS

 

 

I consulted with the person I am proposing. The person is eligible as well as interested in being nominated and in serving on the Peoria Notre Dame High School Board of Trustees if appointed. YES NO

Name (Person Nominating)

Affiliation

Date

RETURN via email to:

s.cicciarelli@pndhs.org

or send by postal mail to:

Peoria Notre Dame High School

Offices of the President

5105 N. Sheridan Rd.

Peoria, IL 61614

[12/09]