Date Submitted

Region (check all that apply)   NACA Central NACA Mid America NACA Mid Atlantic NACA Northeast NACA Northern Plains NACA South NACA West

Name

Current Job Title/Position

Agency

Daytime Phone

Email Address

For all regional positions, please attach a letter of support from your institution as attachment #1. Institutional support is defined as financial support as well as time out of the office, etc. Regional Conference Positions   Associate Member Projects Coordinator (National associate) Associate Member Liaison (Regional associate)   For all volunteer positions, please answer the following questions and upload as attachment #2.  What prior experience have you had with NACA at the national or regional level (past NACA activities, positions and/or honors)? Describe the skills and areas of expertise/talent you posses that will assist you in this position. Please include an example of where you successfully managed a task through long-distance communication. What are the objectives/goals you would strive to accomplish in this position? From your perspective, what are the major issues and priorities facing NACA? Can they be addressed through the position you're applying for and, if so, how?