BGC Board of Nominations Committee Form CONTACT INFORMATIONName(Required) First Middle Initial Last Title(Required) Dr.Mr.Ms.None (Dr., Mr., Ms., None.) Mailing AddressBest email address to contact you at(Required) Best phone number to contact you atHighest degree(Required)BachelorsMastersDoctorateBGC credentials held, and year awardedOther relevant credentials heldEmployerEmployment SectorAcademicGovernmentIndustryIndependentTotal years of relevant professional experience (rounded to the nearest whole number)Please describe your primary job responsibilities in your current position, with emphasis on duties relevant to this application.Please describe any additional relevant job responsibilities you held in previous employment positions.Please describe your relevant leadership roles outside of your employment:Please describe any relevant leadership roles you have held as part of the governing board of a professional credentialing body, similar as the Board for Global EHS Credentialing (BGC).Please describe any relevant leadership roles you have held as part of boards or governance groups outside of professional credentialing bodies.Please describe any leadership roles you have held on technical committees, standards-development groups, or subject‑matter expert panels.Please describe your leadership and collaboration styles, including how you guide teams, make decisions, and work with colleagues or stakeholders to achieve shared goals.Please reflect on your potential service to the Board for Global EHS Credentialing (BGC) by addressing the following:Please describe your understanding of the Board for Global EHS Credentialing (BGC) and its role in professional credentialing in the environmental, health, and safety fields?What are the major challenges and opportunities BGC will face over the next four years?What specific contributions will you make to help BGC address these challenges and opportunities?What is your rationale for wanting to serve on the BGC Board, and how does this role align with your professional goals and values?Please confirm your availability:Are you willing and able to serve a four-year term of office? Yes No Are you willing to attend three in‑person weekend board meetings, participate in three remote board meetings, and join additional committee meetings each year? Yes No If relevant, do you have your employer's approval to make this time commitment? Yes No Not relevant Are you aware of any potential conflicts of interest (real or perceived) that you might have if you served on the Board for Global EHS Credentialing? Yes No If yes, please explainPlease attach resume or CV as a PDF.Max. file size: 100 MB.