NIEAPA Board of Directors Notification of Interest
Thank you for your interest in joining the Northern Illinois Employee Assistance Program Association's (NIEAPA) Board of Directors. Please respond to all questions and submit this form upon completion.  If you have any questions, please contact NIEAPA@corpevent.com 312.756.7756
Sign in to Google to save your progress. Learn more
Candidate Information *
First and last name
Credentials *
Email *
Phone number *
Company Name, City, State *
In what ways does NIEAPA align with your personal and professional priorities? *
Summarize your professional background highlighting leadership experience and other competencies that would aid in advancing the mission of NIEAPA. *
Describe your volunteer experience and the extent to which this experience will serve you as a board volunteer. *
What impact do you hope to have by joining the NIEAPA Board of Directors? *
Describe the factors that are essential to your satisfaction and fulfillment as a board volunteer. *
Of what professional accomplishment are you most proud and why? *
Please list anything that you believe could prevent you from fulfilling a Board of Director role with NIEAPA. *
Board members are encouraged to become a member and or chair/co-chair a committee, please check which committee you'd be most interested in?   *
Required
Thank You and Next Steps
We appreciate you taking the time to submit your information for consideration. The Nominating Committee will review your application and contact you to set up a phone call to discuss the opportunity further.

If you have questions, please contact NIEAPA@corpevent.com or call 312.756.7756
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Corporate Event Enterprises. Report Abuse
Google Forms