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 Nominee 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