Housing and Health Care Are Human Rights

National Consumer Advisory Board
EXECUTIVE COMMITTEE NOMINATION FORM

Members of the National Consumer Advisory Board (NCAB) will elect the NCAB Executive Committee during the NCAB Membership meeting at 7:00 pm on Wednesday, June 11, during the National HCH Conference & Policy Symposium in Phoenix, Arizona.

This announcement invites nominations for all NCAB Executive Committee positions by May 12, including.

Chairperson – two year term
Co-Chair – one year term
Co-chair – two year term
Secretary – one year term
Member at Large – one year term
Member at Large – one year term
Member at Large – two year term
Terms of office begin immediately after the election. The NCAB Operating Rules, available at www.nhchc.org/advisory.html describe the responsibilities of these positions and the process of the election.

Nominees must be currently or formerly homeless persons who are actively involved on a CAB or Board of Directors. They should be members of NCAB, and may join now simply by signing up at www.nhchc.org/ncab_join.html

Any member of NCAB, local Consumer Advisory Board, or representative of a homeless health care project (including Medical Respite Care programs) may nominate someone. Self-nominations are welcome.

Nominations should be made on line, using the forms that appear below. They may also be made by printing out (word.doc), completing and sending the form by:
Mail: NCAB, PO Box 60427
Nashville TN 37206
Fax: 615-226-1656
or E-mail: ncab@nhchc.org, no later than May 12, 2008.



Name of Nominee
Mailing address (if any)
City, State, Zip
Telephone (if any)
E-mail (if any)
Position sought (check one or more)





This nominee (check all that apply)



Is a member of a Consumer Advisory Board for (Name of Agency):
Is a member of the Board of Directors for (Name of Agency):
Will be attending the HCH Conference in June, 2008

Statement by Nominee: Please provide a few sentences written by the nominee, describing his or her experience as a consumer, including involvements with agency decision-making or governance.
Nominator Information
Name:
Position:
Agency:
Address (if any):
Telephone (if any):
E-mail (if any):
Thank you for your interest in the National Consumer Advisory Board.