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2019 SAIS Board of Trustees
Nominee Information Form
for the term of service beginning January 1, 2020
CONTACT INFORMATION
First Name
*
Last Name
*
Email Address
*
Phone # (xxx-xxx-xxxx)
*
School
*
City
*
State
*
School Enrollment
*
Under 101
101-200
201-300
301-500
501-700
701-900
901-1200
Above 1200
School Budget
*
$30,000,000 and up
$25,000,000 - $29,999,999
$18,000,000 - $24,999,999
$17,000,000 - $17,999,999
$16,000,000 - $16,999,999
$15,000,000 - $15,999,999
$14,000,000 - $14,999,999
$13,000,000 - $13,999,999
$12,000,000 - $12,999,999
$11,000,000 - $11,999,999
$10,000,000 - $10,999,999
$9,000,000 - $9,999,999
$8,000,000 - $8,999,999
$7,000,000 - $7,999,999
$6,000,000 - $6,999,999
$5,000,000 - $5,999,999
$4,000,000 - $4,999,999
$3,000,000 - $3,999,999
$2,000,000 - $2,999,999
$1,000,000 - $1,999,999
$0 - $999,999
Total # years as a head of school
*
# years in current position
*
Your information will remain on file for consideration for three years unless you prefer otherwise. Please verify below.
Yes, please consider my nomination for up to three years.
No, please remove me from the list if I am not selected this year.
EDUCATIONAL HISTORY
Click "Add" below to list additional degrees (up to 5).
Degree Received
*
Area of Study
*
Educational Institution
*
Other Relevant Information
Add Educational History Items
1 Additional Education Item
2 Additional Education Items
3 Additional Education Items
4 Additional Education Items
5 Additional Education Items
Additional Education History (1)
Degree Received (Additional 1)
*
Area of Study (Additional 1)
*
Educational Institution (Additional 1)
*
Other Relevant Information (Additional 1)
Additional Education History (2)
Degree Received (Additional 2)
*
Area of Study (Additional 2)
*
Educational Institution (Additional 2)
*
Other Relevant Information (Additional 2)
Additional Education History (3)
Degree Received (Additional 3)
*
Area of Study (Additional 3)
*
Educational Institution (Additional 3)
*
Other Relevant Information (Additional 3)
Additional Education History (4)
Degree Received (Additional 4)
*
Area of Study (Additional 4)
*
Educational Institution (Additional 4)
*
Other Relevant Information (Additional 4)
Additional Education History (5)
Degree Received (Additional 5)
*
Area of Study (Additional 5)
*
Educational Institution (Additional 5)
*
Other Relevant Information (Additional 5)
Comments or other relevant educational history not covered above?
RELEVANT PROFESSIONAL WORK HISTORY
Please list all relevant independent school administrative positions. Click "Add" for each additional position (up to 5).
Title / Position
*
School Name
*
Years Employed (from when to when)
*
Add Relevant Work History Items
1 Additional Work Item
2 Additional Work Items
3 Additional Work Items
4 Additional Work Items
5 Additional Work Items
Relevant Professional Work History (1)
Title / Position (Additional 1)
*
School Name (Additional 1)
*
Years Employed (from when to when) (Additional 1)
*
Relevant Professional Work History (2)
Title / Position (Additional 2)
*
School Name (Additional 2)
*
Years Employed (from when to when) (Additional 2)
*
Relevant Professional Work History (3)
Title / Position (Additional 3)
*
School Name (Additional 3)
*
Years Employed (from when to when) (Additional 3)
*
Relevant Professional Work History (4)
Title / Position (Additional 4)
*
School Name (Additional 4)
*
Years Employed (from when to when) (Additional 4)
*
Relevant Professional Work History (5)
Title / Position (Additional 5)
*
School Name (Additional 5)
*
Years Employed (from when to when) (Additional 5)
*
Comments or other relevant professional work history not covered above?
PROFESSIONAL AFFILIATIONS / RELEVANT VOLUNTEER SERVICE
Please list relevant volunteer experience and professional affiliations below. Click "Add" for each additional entry (up to 5).
Professional Affiliations / Relevant Volunteer Service
*
Add affiliations/volunteer
Add
Professional Affiliations / Relevant Volunteer Service - Additional 1
Add affiliations/volunteer (1)
Add
Professional Affiliations / Relevant Volunteer Service - Additional 2
Add affiliations/volunteer (2)
Add
Professional Affiliations / Relevant Volunteer Service - Additional 3
Add affiliations/volunteer (3)
Add
Professional Affiliations / Relevant Volunteer Service - Additional 4
Add affiliations/volunteer (4)
Add
Professional Affiliations / Relevant Volunteer Service - Additional 5
Add affiliations/volunteer (5)
Add
Comments or relevant affiliations/service not covered above?
KEY SKILLS & ATTRIBUTES
Please list your key skills or attributes that would be useful to board service. Click "Add" for each additional line needed (up to 5).
Key Skills & Attributes
*
Add key skills
Add
Key skills/attributes that would be useful to board service - Additional 1
*
Add key skills (1)
Add
Key skills/attributes that would be useful to board service - Additional 2
Add key skills (2)
Add
Key skills/attributes that would be useful to board service - Additional 3
Add key skills (3)
Add
Key skills/attributes that would be useful to board service - Additional 4
Add key skills (4)
Add
Key skills/attributes that would be useful to board service - Additional 5
Add key skills (5)
Add
Comments or other key skills/attributes not covered above?
SAIS ACCREDITATION SERVICE & PROFESSIONAL DEVELOPMENT PARTICIPATION HISTORY
Have you participated on an SAIS accreditation visit in the past five years?
*
Chair
Team
Both
Neither
Have you participated in any of the following SAIS professional development opportunities in the past five years?
*
Annual Conference (October)
Leadership Retreat (April)
Institute for New Heads (June)
Institute for Heads (June)
Institute for Strategic Leadership (June)
N/A
SELF: What SAIS professional development opportunities have you participated in? - Additional 1
Add personal PD (1)
Add
SELF: What SAIS professional development opportunities have you participated in? - Additional 2
Add personal PD (2)
Add
SELF: What SAIS professional development opportunities have you participated in? - Additional 3
Add personal PD (3)
Add
SELF: What SAIS professional development opportunities have you participated in? - Additional 4
Add personal PD (4)
Add
SELF: What SAIS professional development opportunities have you participated in? - Additional 5
Add personal PD (5)
Add
SELF: What SAIS professional development opportunities have you participated in? - Additional
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional 1
Add faculty/staff PD (1)
Add
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional 2
Add faculty/staff PD (2)
Add
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional 3
Add faculty/staff PD (3)
Add
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional 4
Add faculty/staff PD (4)
Add
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional 5
Add faculty/staff PD (5)
Add
FACULTY/STAFF: What SAIS professional development opportunities have your faculty/staff participated in? - Additional
OTHER
Please share why you are interested in serving on the SAIS board.
*
Additional information/notes for the committee to consider: