Board of Directors & Section Rep Interest Form
Submit your interest for Board of Directors and Section Representative positions in CPRS District 13
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agency/Organization
*
Current Role/Title
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Years in the Profession
*
Are you a current CPRS member?
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Yes
No
Which position(s) are you interested in?
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Board of Directors – Secretary
Section Representative – Administrators
Section Representative – Advocacy
Section Representative – Aging
Section Representative – Aquatics
Section Representative – Development & Operations
Section Representative – Educators
Section Representative – Recreation
Section Representative – Recreation Therapy
Brief Statement of Interest
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Relevant Experience
*
How did you hear about this opportunity?
*
Please Select
CPRS Email/Newsletter
Colleague or Friend
Social Media
Website
Other
I acknowledge that this is an interest form and does not guarantee appointment to any position.
*
I understand
Submit Interest
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