TAVAC Board Member Application Form

If you are interested in serving on the TAVAC Board, please complete the Application form by April 30th. Voting will take place during the annual TAVAC conference. The nominee must be a TAVAC member for the PREVIOUS two consecutive years.

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TAVAC Office for which you are running *
First and Last Name *
Home Address *
Preferred Phone Number  *
Preferred Email *
School Name/Address/ Phone number *
Current role/position *
TAVAC/ESC Region *
Professional Organization and offices held *
Degrees earned
Certifications obtained *
Last 3 Work experiences (position- location-dates)  *
Why are you seeking this office? *
My goals if elected are... *
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