LAHIDAN Leadership Team Member Application

Leadership Team Member Application
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Academy Member Number
Which state do you reside in?
How long have you been a member of LAHIDAN?
Type a question
Most positions require about 2 hours/week of time commitment. Does your schedule permit to fulfill this position?
Have you or are you currently holding an executive committee (voting) position within Academy, DPG, MIG, etc?
Are you a member of other MIGs, DPGs, or Academy committees?
Please list your educational background, and/or career experiences and current area of practice:
Please list any previous leadership and volunteer roles or experiences:
Please list any special skills or training relevant to the position you are seeking, or that you feel could benefit LAHIDAN:
Should be Empty: