Nomination of New Board Members

BOARD NOMINATION FORM

Nominate an individual for the Board of Directors of the i2b2 tranSMART Foundation

Nomination Form for a Foundation Board Seat

Nomination of Board of Director Members

There will be one opening on the of the Board of Directors in June 2021. The Board is accepting nominations for new Board Members. The Board is especially interested in getting more diversity of Board Members, per the Diversity Statement of the Foundation (see link below this form). The new Board member's term is a 2 years commitment. This year the nominations must be received by the end of the day September 30th. The Board will review the nominations and elect the new Members.

Your Information
Please let us know who you are . . .
Your Name*
First Last
Your Email*
Your Organization*
Your connection to the Foundation
- i2b2 User
- tranSMART User
Please let us know how you are associated with the Foundation.
Board of Director Nominee Information
Name of the person you are nominating:*
First Last
Nominee's Organization*
Nominee's Job Title*
The Nomination
Reason for Nomination (500 char max)*
Nominee’s Email Address*
Nominee's Phone (optional)
Comments
This field is for validation purposes and should be left unchanged.

Foundation’s Diversity Statement

BOARD NOMINATION FORM

Nominate an individual for the Board of Directors of the i2b2 tranSMART Foundation

Nomination of Board of Director Members

Your Information

Board of Director Nominee Information

The Nomination

Thanks for your nomination!