Survey and Self-Nomination Form for CT, MA, NH State Chapters
Use this form to nominate yourself for a State Chapter Board Position.  If you are not interested in a Board position that is certainly fine.  Please share info about your state for future leaders to utilize in their Strategic Growth Plan.
The deadline for Nominations is December 12.
For questions email klucking@usafieldhockey.com
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Preferred Email for Communication *
What State Chapter are you a part of?  Either live in or member of a club located in the State?
Clear selection
What City do you live in?
What club are you a part of?  If no club, what team or school? or if no team allegiance just type "Independent" *
SELF-NOMINATION- What is your first choice in position if you want to serve on the State Chapter Board? *
SELF-NOMINATION- If you have a second choice in position to serve, what is it?
Clear selection
SELF-NOMINATION- If you have a third choice in position to serve, what is it?
Clear selection
If you are not interested in leading, how are you interested in volunteering to grow the game?  Is there a committee you would like to be on?
What other committees would benefit your State?
Is this a new submission or are you submitting to change or edit an earlier submission to this form, example is you are interested in different roles on the State Chapter Board than you initially signed up for? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms