Communications, Press & Publicity Interest Form

Committee Interest Form

New Jersey State Conference Committee
Please know that this form WILL NOT be used to decide whether you can be part of the committee; however, in order to better serve everyone and work together effectively, it is important that we know what you are and aren't familiar with. EVERYONE IS WELCOMED and no one who shows interest will be turned away.
Name*
Email*
Address*
Phone number*
Branch Name*
Unit #
Are you part of another committee?

YesNo
Which committee(s) are you part of?

ACT-SOArmed Forces & Veteran AffairsCommunications, Press & PublicityCommunity CoordinationConventionCriminal JusticeEconomic DevelopmentEducationEnvironmental & Climate JusticeFreedom FundHealthHousingLabor & IndustryLegal RedressMembershipPolitical ActionPrisonReligious AffairsYouth WorksLife MembershipYoung AdultWomen In NAACP (W.I.N.) ChairNone
Option #1
Option #2
Option #3
Interest & Availability
Which committee(s) would you like to be part of?*

ACT-SOArmed Forces & Veteran AffairsCommunications, Press & PublicityCommunity CoordinationConventionCriminal JusticeEconomic DevelopmentEducationEnvironmental & Climate JusticeFreedom FundHealthHousingLabor & IndustryMembershipPolitical ActionPrisonReligious AffairsYouth WorksLife MembershipYoung AdultWomen In NAACP (W.I.N.)
Which day(s) of the week would you be able to meet?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What meeting times are best for you?

MorningAfternoonEvenings
How often would you be able to attend

MonthlyBi-weeklyWeekly
Anything additional you'd like to add...
Short Answer
What influenced you to want to be a part of the committee?*
Yes or No
Do you consider yourself a team player?*

YesNo
Provide a brief example…*
Do you consider yourself to be open minded?*

YesNo
Provide a brief example…*
Do you work well under pressure?*

YesNo
Provide a brief example…*
Are you able to work toward a common goal whether you agree with those you are working alongside?*

YesNo
Provide a brief example…*
Comments
Should be Empty:

Committee Interest Form

Interest & Availability

Short Answer

Yes or No