NPF Washington D.C. Division - Interest Form Question Title * 1. Are you interested in being involved in the National Psoriasis Foundation - Washington D.C. Division? Yes No Question Title * 2. If you would like to be involved, what area of the Division would you most like to contribute? (check all that apply) Special Events and Fundraising Education and Outreach Advocacy and Government Relations Marketing, Communications, and Public Relations Other (please specify) Question Title * 3. Are you interested in taking a leadership role on the Washington D.C. Division Board? Yes No, I don’t want to lead the effort, but I do want to help by... Other (please specify) Question Title * 4. If you'd like to take a leadership role, which area could you most see yourself contributing? (check all that apply) Committee Chair Volunteer Development Chair Fundraising Task Team Chair Outreach Task Team Chair Advocacy Task Team Chair Marketing Task Team Chair Walk to Cure Psoriasis Committee Chair Other (please specify) Question Title * 5. Do you plan to join us at the free education program, More Than Skin Deep, on Saturday June 21, 2014 in Washington D.C.? Yes No Please send me information about More Than Skin Deep on Saturday, June 21, 2014 Question Title * 6. Do you plan to join us at the Walk to Cure Psoriasis in Washington D.C. on Saturday, Sept. 20, 2014 at the Lincoln Memorial Reflecting Pool? Yes No Please send me information about the Walk to Cure Psoriasis in Washington D.C. on Saturday, Sept. 20, 2014 Question Title * 7. Briefly explain why you'd like to be involved in the specific ways you indicated during this survey Question Title * 8. Please confirm your name and the best email address for you, so we can stay in touch Name: City: Email: Question Title * 9. Questions, Comments, or Concerns? Next