ACS BOARD OF DIRECTORS

ACS Vice President– 2 Year Terms

ACS Secretary – 2 Year Term

ACS Treasurer – 2 Year Term

Atlantic Region Vice President– 3 Year Term*

Atlantic Region Director – 1 Position – 3 Year term

Gulf Region Director – 1 Position – 3 Year term

ACS Director-At-Large (Non-Regional) – 4 Positions – 3 Year Term for each position

*If you apply to be the Atlantic Region Vice President you MUST also apply to be an Atlantic Region Director OR you MUST presently be an Atlantic REgion Director with an unexpired term as of July 1, 2013.

ACS STATE DIRECTORS

One Position each State or Territory

None

Alabama - 3 year term

Arkansas/Louisiana - 3 year term

Florida (Northern) - 3 year term

Florida (Peninsula) - 1 year term

Massachusetts - 1 year term

Mississippi - 3 year term

Northeastern U. S. - 1 year term

Oregon - 2 year term

Tennessee - 3 year term

Texas - 3 year term

Washington State- 2 year term

Please send in applications by May 15, 2013 to be considered. These positions will be filled on July 1, 2013.

Fill in and click the submit button on the bottom of this form to send the information to the Board Development Committee.

Note: The committee will review and qualify all applications before they are included on a state or regional ballot or submitted to the ACS Board as set forth in the ACS Bylaws, which are available on the ACS website.

To be considered applications must include:

1) Completed application form below including reference information. References may be contacted by the committee during the slating process.

2) Current resume (not to exceed 2 pages) that includes your volunteer and employment experience, including dates of positions held. Your resume can be attached in the box just above the "Submit" button.

3) Letter to the Board Development Committee (not to exceed 2 pages) in which you identify:

• The position(s) for which you are applying
• Examples of any experience pertaining to the responsibilities of the position(s) for which you are applying
• A statement of why you are interested in the position(s)

This letter can be attached in the box just above the "Submit" button.

Applications received after the deadline will not be considered. Incomplete applications will not be considered.

A candidate is responsible for ensuring the completed application is received by the deadline. Please keep a copy of your application and supporting information for your files. You should receive an email confirming receipt of your application within one week of delivery. If you do not receive confirmation, please contact the Chairperson at the telephone number listed below before the deadline.

If you have any questions about this form or the nominating process, please call or email Board Development Committee Chairperson, Jim Campbell, (Central Time Zone) at (985) 630- 9899, rivercamellia@bellsouth.net.

* Denotes Required Field

APPLICANT INFORMATION

Date*:

First Name*:

Middle Name:

Last Name*:

Address*:

City*:

State*:

ZIP Code*:

Telephone*:

Cell Phone:

Fax:

Email Address:

Local Camellia Club/Society Membership*:

Which Region (Atlantic, Gulf, Pacific)*:

REFERENCES (no family members)

#1 Community/Professional Reference

Name*:

Telephone – Day*:

Telephone – Evening:

Email Address:

Preferred Means of Contacting*:

How long have you known Reference?*:

Relationship with this Person*:

Why did you choose him/her as a Reference?*:

#2 ACS Local Camellia Club/Society Reference

Name*:

Telephone – Day*:

Telephone – Evening:

Email Address:

Preferred Means of Contacting*:

How long have you known Reference?*:

Relationship with this Person*:

Why did you choose him/her as a Reference?*:

Applicant Resume*

Applicant Letter*