Instructions
Please provide updated contact information of your branch officers and committee chairs. THIS FORM SHOULD BE COMPLETED BY THE BRANCH PRESIDENT OR SECRETARY.
2023-24 Officer Update Form
NAACP New State Conference
Section #1 - Contact Information
Position
*
President
Secretary
Other
Name
*
First Name
Last Name
NAACP Unit Name
*
Unit #
Unit Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
*
Please enter a valid phone number.
Fax
Please enter a valid phone number.
Email
*
example@example.com
Social Media
Section #2 - Current Officers & Committee Chairs Contact Information
Current Officers & Committee Chairs Contact Information
*
Name (Last, First, MI)
Address (Street, City, State, Zip)
Email
Phone #
President
1st Vice President
2nd Vice President
3rd Vice President
Secretary
Treasurer
Assistant Secretary
Assistant Treasurer
ACT-SO Chair
Armed Forces & Veteran Affairs Chair
Communications, Press & Publicity Chair
Community Coordination Chair
Economic Development Chair
Education Chair
Environmental & Climate Justice Chair
Freedom Fund Chair
Health Chair
Housing Chair
Labor & Industry Chair
Legal Redress Chair
Membership Chair
Political Action Chair
Prison Chair
Religious Affairs Chair
Youth Works Chair
Young Adult Chair
Women In NAACP (W.I.N.) Chair
Youth Advisor
Youth Council/ College Chapter President
Other
Certify and Submit
Certification
This is to certify that the names listed above have been duly elected to represent the unit listed above based on the results of the 2022 branch elections.
Signature of Branch President or Secretary
Submit
Should be Empty: