Nomination Form

Criteria:

In order to be able to form part of the Board of Directors for the new national Latina/o LGBT organization in the next 2 years (March 2007 – February 2009), the current members of such committee expect that you will:

a) work in at least one of the subcommittees (Membership/Outreach, Fundraising/Logistics, Policies & Procedures, Organizational Development),

b) attend all meetings scheduled

c) participate in at least 75 % of conference calls/video conferencing for the whole committee and subcommittee work,

d) commit 100% time in the next 5 months to formalize this organization,

c) make monetary contribution(s) significant to you,

d) outreach to people in your area or country,

e) commit to responding to correspondence in at least 5 working days from receiving such,

f) hold a meeting in your city or town to receive and give feedback to your local members and report this back to the group

This Board of Directors will be comprised of a total of 11 committed (to the above guidelines) individuals from across the country and Puerto Rico from all walks of life, according the following guidelines:

Unid@s Board of Directors Geographic and Demographic Make-Up

Capacity
The Unid@s Board will have a minimum of five Board members at all time, and a maximum of 11.

Executive Committee
The Unid@s Board Executive Committee shall be comprised of the following five officers:

Chair, Transgender*
Chair, Woman*
Chair, Man*
Secretary
Treasurer

Geographic Representation
Regional Slots
The Unid@s Board will be divided in the following 7 regions:

West: Hawaii, Alaska, Washington, Oregon, California
North Central: Idaho, Montana, North Dakota, South Dakota, Wyoming, Nebraska
South Central: Nevada, Utah, Colorado, Arizona, New México, Texas, Oklahoma
Mid West: Minnesota, Wisconsin, Iowa, Missouri, Illinois, Indiana, Michigan, Ohio
South East: Arkansas, Louisiana, Mississippi, Kentucky, Tennessee, Georgia, Alabama, Virginia, West Virginia, North Carolina, South Carolina, Florida
North East: Maine, New Hampshire, Vermont, New York, Massachusetts, Rhode Island, Connecticut, Pennsylvania, New Jersey, Delaware, Maryland, D.C.
Puerto Rico


State Slots
The following 4 states will have an additional slot to address density of LGBT Latinas/os:
New York, Illinois, Texas, California

Demographic Representation
Gender and Gender Idenity/Expression
The Unid@s Board will strive to be representative in gender and gender identity/expression, to reflect the following breakdown:

3 Transgender
4 Women
4 Men

Ethnicity
100% of the Unid@s Board will be comprised of Latinas/os.

Sexual Orientation
The Unid@s Board will be comprised of a minimum 75% LGBT Latinas/os.

25% is open to non-LGBT Latinas/os, but can be filled by LGBT Latinas/os.

Diversity of Skills
The Unid@s Board will strive to include a minimum of one individual with experience in one of the following areas:

Resource/Development
Web Development
Finance
Leadership/Marketing/Outreach
Organizational Development
Legal background
Advocacy/Legislation

Nominee Information

Name:

Email:

Mailing Address:

City/Town:

State/Country:

Zip Code:

Phone(s):

Age:

Identify as:

Gender Identity:

Sexual Orientation (i.e., Lesbian, Gay, Bisexual, Straight, or otherwise identified):


Country of Origen (i.e., Puerto Rico, USA, El Salvador, etc):

Ethnicity (i.e. Puerto Rican, Mexican, Cuban, Panamanian, etc.):

Do you live in an area that is considered (bold or circle appropriate):

URBAN SUBURBAN RURAL

What can you offer this group (please describe your experiences, background, and membership(s)/participation in other local and national groups)? (use the space provided only).

What resources and/or assistance would you need in order to participate in this group?

Please describe your experience in one or several of the following areas – Resource/Development, Finance, Leadership/Marketing/Outreach, Organizational Development, Legal background and/or Advocacy/Legislation:

Please include a short bio (one paragraph maximum):

Please include a copy of your resumé (paste here if possible):

Other comments or information that you would like to share with us:

This form must be returned via email or snail mail postmarked by December 21, 2006 in order to be considered to participate in this group. A current member of the Membership Committee will contact you in a week thereafter.

If you need additional information, please email us a unidoslgbt@gmail.com.

Return form by December 21, 2006 by email to unidoslgbt@gmail.com or via snail mail to ALLGO, 701 Tillery St.,Box 4 Austin, TX 78702.