Application for New Committee Chair/Vice-Chair

Applications are due Wednesday, May 31, 2023.

For any questions, please contact cpmembership@facs.org.

Question Title

* 1. Basic Contact Information

Your name and your credentials

Name of institution where you work

Business Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Committee Leadership Interest: Please select the committee leadership role for which you are applying to.

Chair

Vice-Chair

Question Title

* 3. Please select the committee you are interested to lead as chair or vice-chair. (Select only one)

For each of the following three questions, question 4 through 6, please provide a 150-word narrative response.

Question Title

* 4. How have you contributed to the committee you are applying for in your current role and what is your vision for the program and that particular committee?

Question Title

* 5. Why do you want to serve as a chair or vice-chair of your committee?

Question Title

* 6. What contributions would you expect to make towards bringing Equity, Diversity, and Inclusion (DEI) into the decision making and activities of the committee?

Question Title

* 7. Please attach a copy of your CV or biosketch (.pdf )
*Please note, you are not required to include any sensitive information on your file.

PDF file types only.