Steering Committee Chair Application Form 2015

February 20, 2015

Thank you for your interest in serving as a NAACCR Steering Committee Chair (or Co-Chair). This is an important leadership position within NAACCR, providing oversight for the overall planning, implementation and monitoring of tasks related to one of our five priority areas. For additional information, please see the Chair role description for each priority area.

Chair positions will have a two year term from June 2015 to June 2017.

Instructions: (1) Please create or update your current profile on MyNAACCR before submitting this application; you may then reference your profile for any part of the application. You may also substitute a curriculum vitae to replace the Education & Employment sections of the form. (2) Please submit no later than March 13, 2015 by noon EST.

If you have any problems completing this form, please contact Dustin Dennison, NAACCR IT Administrator, at (217) 698-0800 x8 or ddennison@naaccr.org.

1. Please select the button corresponding to the position for which you are applying: *This question is required.

2. Please fill out the following information. If you wish to upload a CV instead of completing the questions regarding your experience and history, please use question 3.

Name: *This question is required.

Email Address: *This question is required.

Education, Certification & Related Credentials:

Relevant Employment Experience:

NAACCR Committee Membership (include leadership history):

Other relevant volunteer or leadership history:

Thoughts regarding the priority area of interest and the goals the organization should be striving to attain within the priority area: *This question is required.

Please describe other skills, talents, or interests that make you a good candidate for the position: *This question is required.

Please describe briefly why you feel you are a good fit for this position: *This question is required.

3. CV Upload - can be used in place of experience and history questions above:

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