Nomination for the PALS and CALS Advisory Council

Nomination for PALS and CALS Advisory Council

Requirements:

Only Alliance Members in good standing are eligible to submit nominations
All nominations must be received by the deadline of 28th February 2020

Nominate someone to sit on the PALS and CALS Advisory Council.

Your Name * Required
First Last
Your Email Address * Required
Do you represent a member of the International Alliance of ALS/MND Associations? * Required
Nominations will only be accepted from Alliance members. If you are not a member, this nomination cannot be considered.
What is the name of your member association? * Required
Associate individual members may simply write, "Associate."
Nominee's Name * Required
First Last
Nominee's Email Address * Required
Is the nominee a PALS or a CALS? * Required
All nominees must be PALS or CALS.
What makes this nominee a qualified candidate for the PCAC? (LIMIT: 200 words) * Required
Please describe the nominee's familiarity with the Alliance's vision, mission, strategy and operations. (LIMIT: 200 words) * Required
Is the nominee a *paid* employee of an ALS/MND organization? * Required
Is the nominee a *paid* employee of a company that provides, or aspires to provide, products or services to people with ALS/MND? * Required
Please certify that the nominee is willing and able to serve on the PCAC if selected. * Required
- Yes. To the best of my knowledge, this nominee is willing and able to serve on the PCAC.

United in the worldwide fight against ALS/MND