1.Please enter your contact information.

Name

Organization

State/Province

AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming

Email Address

Phone Number

2.Why would you like to serve on the NASASPS Board?

3.How many years of experience do you have in higher education regulation?

4.Please tell us more about your skill set and how you would contribute to the association.

5.Is your agency/division director or direct supervisor supportive of you taking on this role? Is your agency willing to provide financial resources to travel to meetings and allow you time to work on Board activities every month?

6.I would be interested in serving as chair of the following:

Policy Committee

Distance Education Committee

School Closure Committee

Conference Committee