Question Title * Contact Information Name Company Address City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Volunteer Committee InterestPlease choose the Foundation committees you'd like to serve on in the prioritized order below. Question Title * Committee Choice 1 NCMA Foundation Investment/Finance Committee NCMA Foundation Program Review Committee ICPI Foundation Program Committee Question Title * Committee Choice 2 NCMA Foundation Investment/Finance Committee NCMA Foundation Program Review Committee ICPI Foundation Program Committee Question Title * Committee Choice 3 NCMA Foundation Investment/Finance Committee NCMA Foundation Program Review Committee ICPI Foundation Program Committee Question Title * Please provide a brief statement on why you are interested in contributing to a specific committee and what you can provide if offered participation as a committee member. Question Title * Has your company donated to the Foundations? (Check all that apply) Yes to ICPI Foundation Yes to NCMA Foundation I'm not sure No, but I would like someone to contact me about how to make a donation to one or both Foundations Question Title * By typing in my name below, please accept my interest form for the selected committees. I understand that if appointed to a committee, my responsibilities would include participation in two half-day in-person committee meetings per year, participation in committee task groups and conference calls (as needed), as well as reviewing committee agendas and materials prior to the meeting. I understand that committee members are expected to register for the annual and summer meetings and cover travel and meeting expenses. I also understand that missing two consecutive committee meetings will result in my removal from the committee. Full Name Date Thank you for taking the first step in the committee process. You will be notified in May 2024 of your appointments. Page1 / 1 100% of survey complete. Done