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National Capital Chapter
2023 PRSA NCC Board of Directors/Assembly Delegates Nomination Form
If you have questions, please contact us at
info@prsancc.org
.
2023 Board of Directors/Assembly Delegates Nominations
Name
*
First
Last
Job Title
Company
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Email
*
Please include a short (150-word) bio highlighting your career in communications and public relations, your qualifications, and your past experience with professional associations. Third-person is recommended.
*
Please attach your current resume
*
Accepted file types: pdf, docx, doc, rtf, Max. file size: 256 MB.
Please upload your headshot.
*
Photos will be approximately 150 x 150 px on the ballot, so a traditional headshot is best.
Accepted file types: jpg, gif, png, jpeg, tiff, Max. file size: 256 MB.
Please provide the URL for your LinkedIn profile.
Please list your Twitter handle(s).
How many years have you been a member of PRSA?
*
How many years have you been a member of the National Capital Chapter
*
Are you an accredited (APR) member of PRSA?
*
Yes
No
Are you a PRSA Fellow?
*
Yes
No
Have you ever been involved in PRSA's National Capital Chapter, another chapter, or PRSSA as an officer, committee chair, assembly delegate, or member? Have you been involved in PRSA or PRSSA at the national level? If so, please describe your experience and accomplishments in 250 words or less. If not, please explain your interest in becoming more involved with the chapter.
*
In 250 words or less, please describe leadership positions you have held in other non-profit organizations, if applicable.
*
Diversity, Equity and inclusion (DEI) remain a priority for PRSA's National Capital Chapter. In 250 words or less, please share any recommendations you have to further embed D&I into our chapter.
*
Please consider me as a candidate for nomination to the following position (Descriptions of each position can be found here - https://prsancc.org/board-position-descriptions/).
*
President-elect
Secretary
Treasurer
Two-year vice president
One-year vice president
Two-year Director (four positions open)
One-year Director (three positions open)
Three-year Assembly Delegate (three positions open)
Two-year Assembly Delegate (two positions open)
For the position you have indicated above, please offer suggestions of what you might want to accomplish in 2022 in this role in 250 words or less.
*
Acceptance
*
By checking this I agree to the statement below.
I have read the duties of the position at https://prsancc.org/board-position-descriptions/ and will agree to expend the time and, if required, fiscal obligations to serve if I am nominated by the committee and elected by the membership. By checking the box above, I give my full consent and agreement.
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Last Name
Email Address
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