Expression of Interest in Future Board Service 2027

Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Phi Kappa Phi Chapter Affiliation*
Chapter Name
Employer and position*
Please be specific. If faculty, include rank and unit
Leadership experience within your employment*

Limit 300 words0/300
Leadership experience external to your employment, e.g., community*

Limit 300 words0/300
Phi Kappa Phi experience*
Both national and chapter level, e.g., committee service
Do you have experience in any of the following? Check all that apply.*

GovernanceFinanceFundraisingInvestment ManagementMarketingITHigher EducationOrganizational LeadershipNone
Share a brief statement about your interest in a national leadership position*

Limit 400 words0/400
If you are submitting this application on behalf of another Phi Kappa Phi member, please provide your contact information below.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number

Please fill out the following information on behalf of the nominee.
Nominee's Name*

First NameLast Name
Nominee's Phi Kappa Phi Chapter Affiliation*
Chapter Name
Nominee's E-mail*
example@example.com
Nominee's Phone Number*

Area CodePhone Number
Nominee's Employer and position*
Please be specific. If faculty, include rank and unit
Nominee's Phi Kappa Phi experience*
Both national and chapter level, e.g., committee service
Does the nominee have experience in any of the following? Check all that apply.*

GovernanceFinanceFundraisingInvestment ManagementMarketingITHigher EducationOrganizational Leadership
Share a brief statement about why you think the nominee should serve Phi Kappa Phi at the national level.*

Limit 400 words0/400
Should be Empty: