FPDA Leadership Nomination Form



FPDA Leadership Nomination Form

Any eligible FPDA member in good standing may be nominated to serve as a board or committee member. The FPDA Nominating Committee will review all nominations, and recommend approved candidates to the Board.


Name:
Title:
Company Name:
Company Address:
City:
State/Province:	Zip/Postal Code:
Country:
Work Telephone:
Cell Phone:
Email:




Business History:

Please describe your experience and background in the fluid power industry, indicating the companies you've worked for and the positions you've held, including dates where pertinent.

Briefly indicate why you are interested in serving FPDA in a leadership role.


Industry Organizations:

Please list those organizations within the fluid power industry in which you are active, including offices you have held, committees in which you have been involved and any awards or other recognition you have received. Please include dates.


Educational Background:

Please indicate any specific professional educational preparation you feel has contributed to your expertise in the fluid power industry.


Leisure Activites:

Please outline any activities such as hobbies, sports, or other pastimes that you particularly enjoy.


Other:

Please designate anything you would like to have mentioned, any special awards you have received or other recognition and achievements.

- denotes required fields