Prospanica Chapter Board Interest Form

Prospanica Chapter Officer Interest Form

In this form, you can express interest in Board of Directors positions at your local chapter—whether for the upcoming year or a mid-year appointment. This is also your opportunity to start a brand-new chapter or restart a former one. Opportunities are available for both professional and student chapters at colleges and universities. Please email chapterrelations@prospanica.org with any questions.
Name

First NameMiddle NameLast Name(s)
How should we refer to you in emails and social media? (he, she, they, etc.?)
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Best email to contact you
example@example.com
I am interested in:
What is your current title?
Current company/organization you work for?
What institution are you attending? Type out the college/University name
What is your current academic standing?
My goal is to:
Member Information

You may visit your member portal for your membership information: https://members.prospanica.org/login.aspx Selected Chapter Officers will be provided a promo code for a discounted membership!
What is your member ID?
https://members.prospanica.org/login.aspx
Please indicate what membership you have:
Chapter Interest
For which chapter are you applying?
If your chapter or institution is not listed above, in which city or college/university are you trying to start one?
Have you been a Prospanica Board member in the past?
If so, which position(s) and year(s)?
EX: New York Chapter President 2019, New York Treasurer 2018
Do you currently volunteer for any organization (non-profit, ERG, BRG, etc)? In what capacity?
As an officer, how would you like to be involved with the Prospanica Chapter? Select all that apply:

What would you like to get out of your local Prospanica Chapter?

Rows	No Interest	Low Interest	Some Interest	High Interest
Networking
Career Progression/Mentoring
Exposure for business
Discounts for events (Conference, etc.)
Leader/contact at your company to be a sponsor or partner

What type of board position interests you?
What position interests you as Chapter Leadership Board member? Select all that apply.

Other
Why does that role interest you? What makes you a good candidate? Would you be able to achieve/contribute towards Chapter goals described below? How? If you choose not to be part of Chapter Leadership, describe ways in which you could contribute to achieve those goals.
How often can you participate in Board Leadership VIRTUAL meetings?
How often can you participate in Board Leadership IN-PERSON meetings?
How often can you participate in IN-PERSON OR VIRTUAL MEMBER EVENTS?
Additional Information
Please provide a professional headshot

Cancelof
Please share your LinkedIn profile URL:
Which identities do you hold? Select any and all that apply.
How many years were you a Prospanica member?
Should be Empty:

Prospanica Chapter Officer Interest Form

Member Information

Chapter Interest

Additional Information