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§ 2027 Election · Houston · Executive Committee

Candidate Information Form

For members seeking an Executive Committee office. Answer every question; your form goes to the President and the Secretariat, and you get your own PDF copy. Not sure you qualify? Check your eligibility first.

TimeAbout 15 to 20 minutes

Your copyA PDF to download, and by email

ProgressSaved on this device as you type

Website

§ 01

About you

Full name

Telephone number

Email address

We email a copy of your completed form here.

Parents' names

Are one or both of your parents Itsekiri?

YesNo

Father's village

Mother's village

Are you a legal resident of the United States?

YesNo

§ 02

Your regional association

Do you belong to a regional association?

YesNo

Tell us two ways you made a change in your regional association, and how each change affected the association.

0 of 3,000 characters

§ 03

National experience

Have you previously held a position at the national executive level?

YesNo

§ 04

The office you are seeking

Which Executive Committee office are you seeking?

§ 05

Eligibility (Article XII §12.2)

Have you served in a position in your Region (an officer role or a recognised committee leadership role) for at least one year in the past five years?

YesNo

Are you a member in good standing of a recognized INC-USA Region?

YesNo

Are you currently a Regional President?

YesNo

§ 06

Region endorsement

Your Region must endorse your candidacy in writing. Give the name and email of your Regional President or Region Secretary. The Secretariat will contact them to request and confirm the endorsement; nothing is sent to them automatically.

Which Region is endorsing you?

Name of your Regional President or Region Secretary

Their role

Their email address

Where is the endorsement now?

§ 07

Education and associations

Your highest completed level of formal education, with degrees earned and any professional training

0 of 3,000 characters

Post-secondary institutions attended

0 of 3,000 characters

Are you in good standing with any other professional or social associations?

YesNo

§ 08

Your vision

If you are elected to the office you are seeking, what would you do to move Itsekiri National Congress forward?

0 of 3,000 characters

Is there anything else we should know about you? (optional)

0 of 3,000 characters

§ 09

Declaration

Interests to disclose: any financial interest in a vendor, contractor or partner that may do business with INC-USA, or a family or close relationship that could influence your decisions

Describe each one, or write None.

0 of 3,000 characters

Conflict-of-Interest Declaration (Appendix N). I will sign the Candidate Eligibility and Conflict-of-Interest Declaration (Appendix N). I confirm I meet the eligibility rules in Article XII §12.2. I will disclose any financial interest in a vendor, contractor or partner that may do business with INC-USA, and any family or close personal relationship that could influence my decisions. Where a conflict exists, I will recuse myself from the vote or decision, and I will update my disclosure if anything changes.

I confirm that the information in this form is true and complete to the best of my knowledge.

Type your full name as your signature

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