USSD Board Interest Form - 2027 Election Cycle

USSD Board Interest Form

Term beginning May 2027 (after annual conference)

USSD is looking for individuals with a proven commitment to the dam/levee industry, strong leadership skills, commitment to the USSD mission/vision, and a desire to serve on the USSD Board of Directors. The Board Nomination Handbook contains information that may guide your recommendations.

To nominate yourself or someone else, fill out this form. Nominations are due October 16, 2026.

**Please be aware that submission of this form does not automatically place the individual on the final election ballot. Submissions will be reviewed and vetted by the Nominating Committee prior to the final candidate slate being approved by the USSD Board of Directors.

Fields marked with an * are required.

Submitter Information
Provide information for the person that is submitting this form. If you are nominating yourself, you will need to provide some duplicate information.

Submitter Name *

Submitter Email *

Nominee/Candidate Information
This information is related to the candidate that you are nominating.

Candidate Name *

Candidate Company

Candidate Title

Candidate Email *

Candidate Phone

USSD Background

Is the candidate a USSD member?

Describe candidates current and past involvement with USSD *

This includes committee involvement, webinar/workshop presenter, technical content creator/reviewer, etc.

What skills and insight would the candidate contribute to USSD as a Board member?

Other Experience

Outline current and/or previous committee or board experience with other organizations.

Background Check
*ONLY COMPLETE THIS SECTION IF YOU ARE NOMINATING YOURSELF* All USSD Board of Director candidates will undergo a standard criminal, professional and education background check prior to appearing on the final slate. All candidates will be notified and asked for authorization before the background check. The following questions are preliminary questions that will used in the evaluation of your nomination prior to the official background check.

Regulatory Agency Investigations

Are you now, or have you ever been, under any investigation by any state and/or federal regulatory agency concerning your business activities?

Yes

Regulatory Agency Investigation Details

If you answered "Yes" to the question above, please use this space to provide state the disposition of all proceedings. Indicate if you are unable to answer the question on the grounds of confidentiality.

Conflict of Interest

All Board members will be required to review, complete and sign the USSD Conflict of Interest Policy. Do you have any potential conflicts of interest or commercial involvement that may prevent you or may be perceived to impact your ability to act solely in the best interest of USSD while serving on the USSD Board of Directors?

Ethics history

Have you engaged in any activity that may have been a misrepresentation of your official position, title, or professional qualifications OR that would otherwise negatively reflect upon USSD?

Supporting Information

Contribution to Strategic Goals *

Outline how the candidate will assist in achieving the objectives of the USSD Strategic Plan.

Statement of Interest

If self-nominating, "Why do you want to be on the Board?"
If nominating someone else, " Why do you think this person should be on the Board?"

Candidate Resume

20MB max

Employer Support

Please upload any documentation (i.e., email or letter) to show your employer supports your participation in the USSD Board.

20MB max

Professional Headshot

Please upload a headshot that can be used for your candidate profile if you are selected to be on the final slate.

20MB max

Additional Information

You may upload an additional document to support this nomination.

20MB max

Please verify that you have checked the “I'm not a robot” checkbox.