MPI Middle Pennsylvania - Board Application

Name:

Employer:

Telephone:

Email:

Position Applying For:

Time Commitment:

Regular attendance at monthly meetings, chapter activities and functions, attendance at Board meetings and retreats.

Attendance at the Annual MPI Board Retreat is required to be considered for term. If you have a special circumstance as to why you would not be able to attend, please indicate here.

List your current committee involvement in MPI and other professional organizations, including title and length of involvement.

What do you see as the single most important issue or concern facing chapter members during the next year? Why?

Leadership:

Ability to lead; viewed by others as leader; excellent reputation in the community; self-awareness - the ability to read one's emotions and recognize their impact while using gut feelings to guide decisions; self-management - involves controlling one's emotions and impulses and adapting to changing circumstances.

See below to rate yourself:

Experience Rating: 1 – 3 Very Little to Some | 4 – 6 Some to Moderate | 7 – 10 Moderate to Expert

Individual Assessment Rating (1 – 10) ___________

1 -3

4 - 6

7 - 10

As an officer or director, please state how you feel your leadership qualifications and chapter experience could contribute to benefit the chapter. What do you hope to accomplish?

Examples or definition of basis for individual assessment from your professional and/or personal as well as MPI Chapter experiences:

Strategic Thinking:

Strategic approach to finding and developing unique opportunities to drive value;

understanding of fundamental drivers of business and vigorously challenging conventional thinking about them.

See below to rate yourself:

Experience Rating: 1 – 3 Very Little to Some | 4 – 6 Some to Moderate | 7 – 10 Moderate to Expert

Select a choice

1 - 3

4 - 6

7 - 10

Please describe any experience you have had in developing (or participating in) a strategic plan and mission/vision statement:

Examples or definition of basis for individual assessment from your professional and/or personal as well as MPI Chapter Experiences:

Personal Communication Skills:

Demonstrated strong verbal and written communication skills; the ability to sense, understand, and react to other's emotions while comprehending social networks. Experience in organization and group dynamics.

See below to rate yourself:

Experience Rating: 1 – 3 Very Little to Some | 4 – 6 Some to Moderate | 7 – 10 Moderate to Expert

Select a choice

1 - 3

4 - 6

7 - 10

Examples or definition of basis for individual assessment from your professional and/or personal as well as MPI Chapter experiences:

Influence:

Demonstrated ability to inspire, influence and develop others while managing conflict.

See below to rate yourself:

Experience Rating: 1 – 3 Very Little to Some | 4 – 6 Some to Moderate | 7 – 10 Moderate to Expert

Select a choice

1 - 3

4 - 6

7 - 10

Examples or definition of basis for individual assessment from your professional and/or personal as well as MPI Chapter experiences:

Chapter Board Application

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