Suggested Candidate Form for Songwriters

For The MLC Board of Directors and Statutory Committees

Submitter Information

Your First Name*

Your Last Name*

Your Email Address*

Are you recommending someone other than yourself?*

First name*

Last name*

Alias (if applicable)

Email Address*

example@example.com

Phone number*

Street address*

City*

Zip/Postal Code*

Country/Region*

Publishing Status*

Self-Publishing Company Name (if any) or Current Publisher

Short Biography of Suggested Candidate*

Notable Compositions*

Qualifications/Reasons Suggested Candidate Should be Considered*

Anything else you'd like the Committee to know?

Positions for which suggested candidate would like to be considered

Please note that suggested candidates for the Board of Directors must be self-published songwriters