IWIRC 2027 Board of Directors and Committees Nomination Form

IWIRC 2027 Board of Directors and Committees Nomination Form

Due September 15, 2026
MEMBER INFORMATION
Name *

First NameLast Name
E-mail *
example@example.com
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Profession*

LawyerFinancial AdvisorGovernment (judge/law clerk)Other
IWIRC Network*
Number of Years in the Insolvency Profession*
Number of Years as IWIRC Member*
NOMINATION FOR BOARD POSITIONS

Choose Executive Committee or Management Committee.
I would like to make a nomination for one or more of the following positions (the current IWIRC Executive Committee and Management Committee roles and descriptions, including the governance structure can be found here):
I would like to make a nomination for one or more of the following Executive Committee positions:

Finance Director (Executive Committee)Global Director (Executive Committee)Operational Management Director (Executive Committee)Governance & Risk Director (Executive Committee)
I would like to make a nomination for one or more of the following Management Committee positions:

Asia Regional Director (2)Canada Regional Director (1)Caribbean Regional Director (1)EMEA Regional Director (2)Latin American Regional Director (1)U.S. Regional Director (2)Program Director (7) [2 will be focused on US programs (Spring and Fall), 2 for an Asia regional conference, 2 for the Flagship International conference, and 1 for virtual programming]Member Services Director (2)New Network and Regional Development Director (2)Communications Director (2)Diversity, Inclusion & Belonging Director (2)Judicial Liaison Director (1)Vice Finance Director (1)Vice Director of Member Services (1)Vice Director of Social Media (1)Vice Director of News (1)UNCITRAL Committee Director (2)
I would like to be considered for any open position.*

YesNoI am not nominating for the board (Executive or Management Committee), I am only nominating to join a committee below
NOMINATION FOR COMMITTEE POSITIONS

Choose Your Preferred Committee
I am nominating to serve on a Committee*

YesNo (I would only like to be considered for a Board position)
I would like to make a nomination to be on one or more of the following Committees:

CommunicationsDIBFinanceMember ServicesNew Network and Regional DevelopmentProgramsUNCITRALAwardsTechnology
Please rank the following Committees, with 1 being the Committee on which you would most like to serve:
If you have a strong preference for one particular position on the Board or on a Committee, please indicate why here.
Is there any position you would NOT like to hold?
If you are selected to serve on the Board, please describe what you would like to work on this term.*
CURRENT & PAST IWIRC LEADERSHIP ROLES

List any roles you have served on the IWIRC International Board.

Rows	Board Position	Year(s) Held
1)
2)
3)

List any committees you have participated in at the International level.

Rows	Committee Name	Year(s)
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*

List any leadership roles you have held at the Regional and/or Network level.

Rows	Leadership Position	Year(s) Held
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*

Please list applicable leadership roles outside of IWIRC.

Rows	Organization Name	Leadership Role/Position Held	Year(s) Served
1)
2)
3)

Please describe your significant contributions in leadership roles outlined above in no more than 3 examples/300 words.*
Please share any additional relevant information about why you should be selected to serve on the IWIRC Board.

Please list a reference familiar with your involvement in IWIRC.

Rows	Name	Firm	Email	Subject (what reference would speak to, i.e. your service on a particular committee or board position)
1)
2)

CERTIFICATIONS
I certify that I am currently a member in good standing and will continue to be. (You may verify your renewal date by logging in to your account on iwirc.com.)*

YesNo
I certify that I have reviewed the job descriptions and requirements for the board position(s) I am seeking and understand the time commitment required.*

YesNo
Date*

MonthDayYear
Date
Should be Empty:

IWIRC 2027 Board of Directors and Committees Nomination Form

MEMBER INFORMATION

NOMINATION FOR BOARD POSITIONS

NOMINATION FOR COMMITTEE POSITIONS

CURRENT & PAST IWIRC LEADERSHIP ROLES

CERTIFICATIONS