PMI South Africa Chapter Nominations Form

Position for which nomination is being submitted:

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Nomination Information

Board of Directors

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Executive VP of (Select from dropdown menu)

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Nominee Information

Name & Surname(*)

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PMI Number(*)

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Postal Address(*)

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Postal Code(*)

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Residential Address (optional)

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Postal Code (optional)(*)

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Phone Number(*)

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Email Address(*)

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Required Qualification

Member in Good Standing(*)

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Willingness to Serve (if nominated by someone else)(*)

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Briefly describe your educational bakground and relevant training (max 250 words)(*)

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List all ctive professional certifications(*)

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Additional Skills: Describe any relevant skills developed outside your professional experience (max 250 words)(*)

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Related Experience: Describe relevant experience for the nominated position gained from employment or volunteer positions (max 500 words)(*)

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Professional History: Please upload your resume or CV (limited to 2 pages)(*)

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Current Volunteer Commitments: Describe any existing volunteer commitments, inside and external to PMI and PMI Chapter (max 250 words)(*)

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Ethics Statement: Please answer all questions to be considered for nomination.

Have you ever been found by any professional association to have violated its ethical code, or are you currently under investigation?*(*)

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Have you ever been convicted of a felony or misdemeanor related to the responsibilities of the nominated position?*(*)

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Do you have any contractual or financial relationship with the component?*(*)

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Are you involved in any relationships that may raise a potential conflict of interest?*(*)

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If you answered "yes" to any of the above questions, please provide details on a separate document.

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Are you fully committed to prioritizing the organization's welfare over personal interests?*(*)

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Signature and Submission

I affirm that the above information is true. I authorize the PMI South Africa Chapter to request verification from relevant entities. Invalid Input

Date(*)

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Please upload a color photo (optional)

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PMI South Africa Chapter Nominations Form - 2024

PMI South Africa Chapter Nominations Form - 2024