Board Nomination Acceptance Form

Please return by deadline date of December 21, 2018

Board Nominee Acceptance form

This form must be completed before December 21, 2018 by 10PM CST.
Personal Information:
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Enter Email Confirm Email
Home Phone*
Credentials
Employer Information:
Present position title*
Employer*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone*
Educational & Certification Background
Educational & Certification Background
Click on + symbol on right for additional rows.
Name of Institution(s) Degree/Certificate/Certification Date Obtained
Professional Experience/Work History
Professional Experience/Work History
Click on + symbol on right for additional rows.
Employer-(Current & Past) Dates of Affiliation Position
Professional Affiliations & Organizations
Professional Affiliations & Organizations
Click on + symbol on right for additional rows.
Membership Dates of Affiliation Offices/Committees Served
NAAP
NAAP experience
Click on + symbol on right for additional rows.
(List years individually) (List each referring to membership years)
Membership Offices/Committees Served
Personal Biography
Your bio:*
Please write a short biography (limited to 250 words for bio) about yourself for the NAAP News.
This biography should include your: educational background; professional experience; professional credentials, professional affiliations; the NAAP offices held and committees you’ve served on; and any other information you would like to share with the NAAP membership.
Why did you decide to run for this particular position?*
What special skills or qualifications do you have for this position?*
Required documents
1st Reference letter*
2nd Reference letter*
Current Headshot picture*
Ethics agreement and acceptance of nomination.*
I state that I have not been involved in unprofessional or unethical practice as a leader in my state and local activity associations or other professional associations in which I am or have been a member. I have read and will comply with NAAP’s No Campaign Policy.
- Accept
- Decline

Name of Institution(s)	Degree/Certificate/Certification	Date Obtained

Employer-(Current & Past)	Dates of Affiliation	Position

Membership	Dates of Affiliation	Offices/Committees Served

Membership	Offices/Committees Served

Board Nomination Acceptance Form

Board Nominee Acceptance form

Personal Information:

Employer Information:

Educational & Certification Background

Professional Experience/Work History

Professional Affiliations & Organizations

NAAP

Personal Biography

Required documents