COCA Board Nomination Form

The Children’s Oncology Camping Association encourages Board participation from it’s Member Camps. We are delighted you are interested in joining the COCA Board. There are a number of positions to consider.

To apply, there is a quick 4 step process:

STEP 1: Candidate Video: We will be handling Board elections online. To assist that process we ask each candidate to prepare a video (3 minutes) to introduce yourself and tell us why you want to be on the COCA Board, and the skills and expertise you bring. Upload your video to a video hosting platform, e.g. YouTube, Vimeo, etc. and copy the link into the field below.

STEP 2: Please review the appropriate job description (below) and time and cost commitment to ensure you meet criteria and can perform the duties of the position prior to completing/submitting this form.

Job Descriptions

COCA Board Member Job Descriptions from the Board of Directors Manual

Time & Cost

Please make sure your employer and Camp are aware of your nomination in advance. There is a time commitment (cannot miss more than two consecutive Board meetings on an annual basis) as well as attending the annual conference, in person, for Board meetings Wednesday and Thursday prior to conference. For cost, contact Jennifer.amundsen@cocai.org for specifics.

STEP 3: Review the following Key Dates

• November 25th- Nomination submissions end
• December 1st- Nominations open for viewing by members
• Voting will occur at a virtual meeting to be held on December 10th at 8 pm ET. This allows all COCA members to participate. Stay tuned for more info soon.

STEP 4: Complete the Applicant Information Below

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available ballot wanting

For Position of: *

• President Elect
• Treasurer
• Region 1 Director
• Region 3 Director
• Region 4 Director
• Region 5 Director
• Region 8 Director
• Member At Large

Name: *

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Email *

Association to COCA *

• Camp Staff/Volunteer
• Medical Staff
• Camp Alumni
• Donor
• Consultant
• Other

Other

Camp Affiliation *

Current Camp Position

Candidate's Video Link (Important!) *

Please use a link from YouTube, Vimeo, or another video hosting platform

If you want to explain your answer from the video, please tell us what your reason is for wanting to be on the COCA Board of Directors

Please list any Board Member experience you have had and your responsibilities

Please list any pediatric oncology camping career successes you have had

I am prepared to attend the Virtual Election & Annual Meeting in December and be available for quarterly Board calls *

• Yes
• Yes with some exceptions
• No

If "Yes with some exceptions" or "No", please explain

Applicant Camp Sponsor

Name of person who is supporting this nomination

Sponsor's Camp

Phone

Email *

Supporter Association to COCA

• Camp Staff/Volunteer
• Medical Staff
• Camp Alumni
• Donor
• Consultant
• Other

Other

(Optional) Name of current COCA Board Member who supports this nomination

Upload any supporting documents you would like to include with your application

Click or drag files to this area to upload. You can upload up to 5 files.

Upload a headshot/photograph for use on election ballot

Click or drag a file to this area to upload.

If you cannot upload a photo today, please send a photo to Jennifer.amundsen@cocai.org no later than November 29, 2024. If you do not have a "headshot", we can crop any photograph- even from a group of people.

Submit