ICA Board of Directors Nomination Application

INDIANA COUNSELING ASSOCIATION

BOARD OF DIRECTORS NOMINATION APPLICATION
*Note: All ICA Board of Directors positions run for 1-year terms (July-July), with exceptions of the President and Treasurer that serve for 2-year terms.

According to our current Bylaws, all Executive Board and Committee positions require that applicants go through the formal election process with review by the Nominations Committee. All nominations for Professional-Interest Division and Representative positions are reviewed by the Board of Directors for approval.

ELECTION PROCESS

(a) All Professional, Emeritus, New Professional, and Student members in good standing of the Association shall have the right to nominate candidates. From the candidates nominated by the membership, and from candidates selected by the Nominations Committee itself, the Nominations Committee shall present a slate of candidates for the open positions to the membership for its consideration and voting. Voting by membership will take place before the end of the fiscal year for all open Board positions, including the officers and committee chairs.

(b) All candidates for President and President-Elect should, at the time of their election, be a current member or past member of the Board, or must have served in a leadership capacity in a Professional-Interest Division or Standing Committee.

OPEN BOARD POSITIONS FOR 2021-2022
- President
- President-Elect
- Treasurer
- Secretary
- Legislative Committee Chair
- Membership Committee Chair
- Committee Member (Legislative, Membership, or Diversity, Equity, and Inclusion Committee)
- IMHCA Representative
- ISCA Representative
- ICES Representative
- ASERVIC Representative
- Student Representative
- LMFT Representative
- LCAC Representative
- LCSW Representative
All Nomination applications must be submitted by May 1, 2021. Applications can also be emailed to execdirector@indianacounseling.org along with the most recent resume or CV.

For further questions, please contact execdirector@indianacounseling.org
Name and Demographics
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email address *
example@example.com
Phone number *
Are you a member of the Indiana Counseling Association (ICA)? *

Yes No
Are you a member of the American Counseling Association (ACA)? *

Yes No
Education and Licensure
What is your highest degree obtained or presently working toward? *
Major Course of Study *
Institute(s) of Higher Education *
Graduation Date (if a student, please list projected graduation date):
Are you licensed as a professional counselor? *

Yes No
If yes, what license do you hold?
What is your counseling specialty area? (For example, multiculturalism, advocacy, autism, play therapy, couples and families, children with disabilities, education, etc). *
Nomination
Source of Nomination *

Self-nomination Nominated by someone else
Nominated by: *

First Name Last Name
ICA Position(s) for which this person is applying/nominated (Please select all that apply) : *

President-Elect Treasurer Secretary Committee Chair (Legislative, Membership, or Diversity, Equity & Inclusion) Committee Member (Legislative, Membership, or Diversity, Equity & Inclusion) Professional- Interest Division Position (IMHCA, ISCA, ICES, ASERVIC) Representative Position (IndiATA/Art Therapy, Student, LMHC, LMFT, LCAC, LCSW)
For Committee Chair Positions (select all for consideration)

Legislative Committee Chair Membership Committee Chair Diversity, Equity, & Inclusion Chair
For Committee Member Positions (select all for consideration)

Legislative Committee Member Membership Committee Member Diversity, Equity, & Inclusion Member
For Professional-Interest Division Positions (please select one)

Indiana Mental Health Counselor Association (IMHCA) Representative Indiana School Counselor Association (ISCA) Representative Director of Counselor Education & Supervision (ICES) Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVIC) Representative
For Representative Positions (please select one)

IndiATA (Art Therapy) Representative Student Representative LMHC Representative LMFT Representative LCAC Representative LCSW Representative
Statement of Interest (Describe why you are nominating yourself or another member to this position.) *
Skills/Qualifications (Describe any special skills that especially qualify the individual for this position.) *
Please upload your most recent resume or CV to this application. *

Cancel of
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INDIANA COUNSELING ASSOCIATION

Name and Demographics

Education and Licensure

Nomination