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2017 NASPA Board-Chair Elect Nomination Form

The NASPA Board of Directors would like self-nominations or suggestions for the 2017 ballot for the NASPA Board Chair-Elect. The individual in the role will serve a crucial role in guiding the association. The commitment to this position runs for three years. From March 2017 to March 2018 as Chair-Elect, from March 2017 to March 2018 as Chair, and from March 2018 to March 2019: Past Chair. 

Per the NASPA Bylaws, all nominated individuals must be a NASPA Professional or Faculty Affiliate, and it is recommended that this individual has had considerable leadership roles within the association. For more information about the position, please see Article IV, Section 7 of the NASPA Bylaws or contact NASPA Past Board Chair, Frank Lamas, at

All self-nominations or suggestions need to be provided by October 3, 2016

Customer/Member ID
Customer/Member ID:
Please indicate the region your institution is in.
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Region/Area  Required

 Region I  Region II
 Region III  Region IV-E
 Region IV-W  Region V
 Region VI  LAC Area
 MENASA Area  
Nominee Information
First Name:  Required
Last Name:  Required
Institution:  Required
Title:  Required
Phone:  Required
Preferred Email:  Required
Twitter Handle:
Curriculum Vitae

If available, please upload the abbreviated curriculum vitae (no more than 10 pages) that outlines the work history and service to the profession, including all applicable NASPA involvement. Please upload the file as a PDF file and save as Last NameFirst NameResume, i.e. NathanVictoriaResume.

Résumé:  Required
Provide short title (Résumé):  Required
Demographic Questions

NASPA does not discriminate on the basis of race, color, national, origin, religion, sex, age, gender identity, gender expression, affectional or sexual orientation, or disability and welcomes applicants from all individuals that meet the application requirements. Please note the following questions are optional and feel free to indicate multiple boxes where applicable.


 Female  Male
 Transgender  Prefer not to disclose
My Sex is not listed; please specify:
Gender Pronoun

 She/Her/Hers  He/Him/His
 They/Them/Their  Ze/Hir/Hirs
 I don't use a pronoun.  
My Gender Pronoun is not listed; please specify:

 American Indian/Alaska Native/Native Hawaiian  Asian/Asian American/Pacific Islander
 Black/African American  Hispanic/Latino(a)
 Multiracial/Multiethnic  White/Caucasian
 Prefer not to disclose  
My Racial/Ethnic is not listed; please specify:
Sexual Orientation

 Bisexual  Lesbian
 Gay  Heterosexual/Straight
 Queer  Prefer not to disclose
My Sexual Orientation is not listed; please specify:

 Blind/Low Vision  Deaf/Hard of Hearing
 Learning Disability  Physical/Systemic
 Psychological Disability  N/A
 Prefer not to disclose  
My Disablity is not listed; please specify:
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