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 and officers during the NCAB Membership meeting at on Wednesday, June 24, from 7:00 to 8:00 pm during the 2009 National HCH Conference & Policy Symposium in Washington DC.

This announcement invites nominations by May 5, 2009 for the following NCAB Executive Committee positions:

Co-Chair (2 year term)
Secretary (2 year term)
Member at Large (2 year term) – two positions

The following NCAB members are currently serving in these positions and are eligible for re-nomination:
Co-Chair Reginald O. Hamilton (Detroit MI)
Secretary Antoinetta Stadlman III (San Francisco CA)
Member at Large Joseph Benson (Houston TX)
Ulysses Maner (Fort Lauderdale FL)

The following Executive Committee members will continue to serve for another year:
Chairperson (term expires June, 2010): Amy Grassette (Worcester MA)
Co-Chair (term expires June, 2010): Carol Hall (Portland OR)
Member at Large (term expires June, 2010): Marianne Malott (Eugene OR)

Terms of office begin immediately after the election. The NCAB Operating Rules, available at http://www.nhchc.org/NCAB/NCABOperatingRules0607.pdf, 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, completing and sending the form:
By mail: NCAB, PO Box 60427
Nashville TN 37206
By fax: 615-226-1656
or by E-mail: ncab@nhchc.org, no later than May 5, 2009.
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, 2009

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.