Consent for Nomination

Parts A, B, C

Part A:

Should I be accepted as a nominee and then elected to the NAAP Board, I will be willing to serve my fellow members in the office of ______.

I agree to have NAAP investigate my standing in my state or local association.

______

SignatureDate

******************************************************************************

Part B:

At present I do not wish to accept the nomination for the office for which I have been recommended. I am willing to accept nomination to the board position I have indicated below:

______

Board Position SignatureDate

******************************************************************************

Part C:

I am unable at the present time to accept any nomination for possible election to the NAAP Board. I am honored, but ask that my name be eliminated from any potential ballot.

______

SignatureDate

******************************************************************************

All board positions are two (2) year terms.

Page 3 of 5Consent/Election ProcessApproved: 04/15/2007

Nominations Slate Information Form

Complete this form and submit it with the information requested below. Send the completed for to the Membership/Nominations Trustee by 03/31/15 in order to be considered as a candidate for the position of ______for the NAAP elections. Please mail to Colleen Keegan, 106 Violet Circle, Madison, WI 53714. Please type or print all information.

Name______

Address______

City, State, Zip______

E-mail address______

Phone (Home)______(Work)______

Present position title______

Credentials______

Employer______

Address______

City, State, Zip______

Please indicate your preference for receiving mail: _____Home_____Work

  1. Personal Information

Please provide the following information:

  • Educational & Certification Background
  • Professional experience/work history
  • Professional affiliation/organization, membership offices/committee served
  • NAAP Offices and Committees served
  • Two (2) Current Letters of Reference
  • Current Headshot – (NAAP recommends a professional photograph, but NO glamour shots)
  1. Ethics Statement

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.

______

SignatureDate

Page 3 of 5Consent/Election ProcessApproved: 04/15/2007

Educational & Certification Background

Name of Institution(s)Degree/Certificate/CertificationDate Obtained

******************************************************************************

Professional Experience/Work History

Employer-(Current & Past)Dates of AffiliationPosition

******************************************************************************

Professional Affiliations & Organizations

MembershipDates of AffiliationOffices/Committees Served

Page 4 of 5Consent/Election ProcessApproved: 04/15/2007

NAAP

MembershipOffices/Committees Served

(List years individually)(List each referring to membership years)

Page 4 of 5Consent/Election ProcessApproved: 04/15/2007

Election Position Statement

Please write a position statement on the office for which you are accepting nomination.

Please include the answers to the following questions in your statement:

  1. Why did you decide to run for this particular position?
  2. What special skills or qualifications do you have for this position?
  3. What is the most important duty of this position?

Please keep response to a maximum of 250 words. NAAP reserves the right to edit this position statement.

Page 4 of 5Consent/Election ProcessApproved: 04/15/2007