WVCA Leadership Interest form

WVCA Leadership Interest form
Name

First NameLast Name
Job Title
Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
If you are a member of an affiliate, which affiliate:
Please describe your experience as a volunteer coordinator including years of experience and job responsibilities:
Please Check all that apply

I have attended a spring WVCA conferenceI am a member of an affiliateI am interested in starting a local affiliate.I am interested in helping with future conferences or eventsI am interested in teaching or presenting at a conference or educational event
I am interested in holding an executive position on the board when it becomes available:

PresidentVice PresidentSecretaryTreasurern/a
I am interested in being a committee chair when it becomes available:

MembershipConcerns & ActionsMarketingConferencen/a
Should be Empty: