2024 NCJA Regional Reps Nomination Form

The NCJA Elections Committee is accepting nominations for individual members or those receiving benefits from their organization’s tribal, criminal justice planning board or state and local agency in good standing to serve as Northeastern and Western regional representatives on the NCJA Advisory Council. Members may submit multiple nominations and also nominate themselves.

Nominations for the Northeast and West regions must be submitted no later than 5:00 p.m., ET on Friday, June 14, 2024. Please note: this is also the deadline for becoming an NCJA member in order to participate in the 2024 election for regional representatives.

Nominee Profile

Click here to view a list of current regional reps.

Region*

(Northeast or West)

Name*

First NameLast Name

State*

Agency or Organization*

Job Title*

Phone Number

Area CodePhone Number

Email

example@example.com

Background

Please provide a short bio or link

Education

Nominator Contact

Self-Nomination

Check here if you are nominating yourself, then click the SUBMIT button below.

Name

First NameLast Name

State

Phone Number

Area CodePhone Number

Email

example@example.com