2021 Board and Committee Nomination Form

If you are a MoCann board member, platinum member or licensed facility member, please use the form below to submit your self or peer nomination. Our 5 person Nominating Committee will be evaluating all submissions in consideration for the 7 available board of director seats (2yr term) and 45 available advisory board seats (1 yr term).

Be advised, though all 45 advisory board seats are up for renewal, additional consideration will be given to returning advisory board members based on participation and impact, but all available board and advisory board seats will be thoughtfully weighed against new nominations.

    Member Name *

    Member Organization Name *

    Name of Nominee

    (If different than self)

    Desired Industry Committee Assignment

    Please choose at least one:

    CultivationManufacturing + Testing LabDispensaryTransportation, Security & TechnologyHealthcare Education & TrainingGovernment Affairs

    Nominee City of Residence *

    Nominee Congressional District *

    District 1District 2District 3District 4District 5District 6District 7District 8

    Interest, Experience and Impact Statement *

    In 500 words or less, please describe the nominee's interest, relevant experience, industry background or other factors for board and committee consideration.

    To complete your survey, please upload your resume/CV. *