Nomination Form for Board Leadership with the Commission on Accrediting

Nomination Form for Board Leadership with the Commission on Accrediting

You may submit a nomination for yourself or on behalf of another ACPE member in good standing. If nominating on behalf of another ACPE member, we will reach out to the member regarding professional/leadership experience and ballot information.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
ACPE Involvement

Certain leadership positions require applicants to be active members in good standing. Please answer the following questions below:
Are you an ACPE Member in good standing?
Select your member type:
Are you currently serving on a commission or committee?
If yes, please list commission or committee that you are a member of:
Please note that we will contact the CoP Coordinator for a reference.
Please list all previous commission or committees you have served on:
Please note that we will contact the CoP Coordinator for a reference.
Please share why you are interested in serving on the Commission on Accrediting:
Please note that we will contact the CoP Coordinator for a reference.