Application Form

Name*

First Last

Email*

Organization Name

Only fill out if you have permission to disclose your organization’s name.

Job Title

Industry

Country

Please select the group or council you are applying for:*

Board of Directors
BRM Content Contributor
Community Leader
Knowledge Innovation Board
Other (Please specify in field below.)

Other:

To apply for the Knowledge Innovation Board, you must be CBRM certified.*

I confirm that I am CBRM certified.

Topic/s You’re Interested In Writing About:

Are you an active BRM in a a professional organization?*

Yes, I am an active BRM in a professional organization.

Please select the position you are applying for:*

Industry you are interested in:*

Additional comments:

Geographic area you are interested in covering:*

Community of Interest Name:*

Please upload your BRMP certification.*

Max. file size: 3 MB.

Are you a current BRM Institute member?*

Yes
No (If no, you are eligible to apply)

What certifications have you obtained?*

BRMP
CBRM
MBRM

Please upload your current resume*

Max. file size: 3 MB.

What skills would you like to utilize on the Board?*

Check all that apply:

Other:

How do you plan to partner with BRM Institute to further the mission of BRM Institute?*

Why are you interested in partnering on the BRM Institute’s Board? What do you hope to gain from the experience?*

Board members stay connected through regular (quarterly) meeting attendance, committee work, membership events, MS Teams, and the Online Campus. Do you have the time and resources to be an active member of the BRM Institute Board of Directors?*

Have/Are you partnered/working on other nonprofit boards? If so, which one(s) and what was/is your role?*

Have/Are you lead/leading a volunteer team with BRM Institute? If so, what was/is the volunteer team and what was/is your role?*

What can we do to ensure that your participation is meaningful, fulfilling and rewarding?*

Describe what it means to fulfill a board members duty of fiduciary responsibility for BRM Institute.*

Communications Consent:*

If you agree, Business Relationship Management Institute, Inc. will use the information you provide on this form to be in touch with you through communications regarding the areas of collaboration you select within this form. Please confirm here that you would like to hear from us:

I consent to allowing BRM Institute to contact me.

Data Consent*

I consent to my submitted data being collected and stored.

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BRM Group & Council Application Form

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