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PC Project Board Member Nomination Form

Introduction:

Thank you for your interest in nominating a candidate for the PC Project Board of Directors. We are looking for dedicated individuals with expertise in finances/accounting, legal services, genetics/basic science, nonprofit management, marketing and fundraising, dermatology/medical, or pharmaceutical Industry experience to help advance our mission.

Please complete the form below. A member of our Board Nominating Committee will follow up with the nominee.

1. Nominator Information. (If self-nominating, please provide your information.)

Your Name

Your Email Address

Your Phone Number

Your Relationship to the Nominee

Colleague
Friend
Self-nomination
Family
Professional Contact
Other - Please describe Please enter an 'other' value for this selection.

2. Nominee Information.

Nominee's Full Name

Nominee's Email Address

Nominee's Phone Number

Nominee's LinkedIn Profile (if available)

Nominee's Current Employer & Job Title

3. Expertise & Qualifications

Which priority area(s) does the nominee have expertise in? (Check all that apply.)

Finances and Accounting
Basic Science - Genetics
Nonprofit Organization Experience
Marketing and Fundraising
Pharmaceutical Industry Experience
Dermatology and Medical
Other - Please describe Please enter an 'other' value for this selection.

Please describe the nominee's relevant experience in the selected areas. (Briefly summarize their background, qualifications, and contributions in their field.)

Why do you believe this nominee would be a valuable addition to the PC Project Board? (Consider leadership skills, passion for the cause, and potential contributions.)

Has the nominee served on a nonprofit board before?

If yes, please list the organizations and roles held.

4. Additional Information.

Is the nominee aware of this nomination?

Any additional comments or relevant information?