Board Member Nomination Form 2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please use this form to nominate someone to VtABA's board. You can even nominate yourself! Time commitment is approximately 3 hours per month. Board meetings are held virtually on Thursday evenings. Timing of meetings can be changed based on a group vote. Come help advance the field of ABA in our own little state! Opportunities for networking, learning, and growing our field lay ahead!

Email *

Name of person making nomination *

Name of nominee *

Desired position *

Vice Chair (3 years, advancement to chair, then chair emeritus)

General Board Member (2 years, multiple openings)

Student Member (1 year, multiple openings)

Nominee is willing to serve any position!

What certification does/will the nominee hold through the BACB? *

BCaBA

BCBA

RBT

Other:

Year of BACB certification

Date of LBA certification

Town in which the nominee lives *

Nominee's current position and place of employment *

What qualities does this nominee hold that will benefit the mission of VtABA *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Vermont Applied Behavior Analysis Association. Report Abuse

Forms