2023 NASW-NYS Nomination Form for Chapter Election *Deadline February 27, 2023*

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

The Nominations & Leadership Committee uses this information to establish the preliminary slate for elected governance positions and appointments to committees and task forces. You may nominate yourself or another colleague. All nominees must be a member in good standing of the NASW-NYS Chapter.

Requirements for NYS Chapter Election Nomination to be submitted by February 27, 2023:
-Nomination submission
-Submit resume to info.naswnys@socialworkers.org
-Complete Leadership Biographical Fact Sheet, go to: https://forms.gle/mb58jDDx984yAoxS7

Name of Nominee *

Credentials (PhD, ACSW, LMSW, Current Student, etc.)

Nominee Phone Number *

Nominee Email *

Positions(s) the nominee is most interested in and qualified for having within the Chapter. Check all that apply.

President-Elect

Secretary

MSW Student Representative

BSW Student Representative

Western Division Director

Central Division Director

Mohawk Valley Division Director

Nassau Division Director

Suffolk Division Director

Delegate Assembly

50 word minimum. Please list area(s) of expertise held by the nominee that you believe qualifies the person for the position(s) indicated. If possible, send any supporting documents, such as resume or published articles, to info.naswnys@socialworkers.org. *

Name of Nominator

Best way to get in contact with nominator

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms