2026-2027 NASW-CT Board of Directors Nomination Form Survey

Thank you for submitting your nomination to be considered for the NASW-CT Chapter Board of Directors Election Slate. We look forward to reviewing your completed submission. Once the nomination period closes, all completed submissions will be reviewed and the final election ballot will be determined by the NASW-CT CCNLI Committee. Please also note the way you include your name, statements, picture and other information in this nomination ballot will be how it will appear on the final Election slate. In order to qualify for a position you need to be a NASW member in good standing. For all of the open position descriptions, please click here.
When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

1.First Name(Required.)

2.Last Name(Required.)

3.Email Address(Required.)

4.Street Address(Required.)

5.City, State, Zip(Required.)

6.Primary Phone(Required.)

7.Job Title and Place of Employment (if applicable, if not, indicate current employment status)(Required.)

8.Work Address (required if you have one)

9.Work Phone (required if you have one)

11.By submitting my information to be nominated for this position, I understand that I am required to attend the NASW-CT Board Meetings as follows: Board Orientation August 2026, Board Meetings, October 2026, January 2027, March 2027 and May/June 2027.

I agree

12.By submitting this form, you are granting NASW Connecticut permission to post your name, photo and statements for campaign and marketing purposes.

I agree

13.You must send your headshot to info.naswct@socialworkers.org in order for your nomination to be considered complete.

I agree

14.Biographical Statement (150 words or fewer) should include nominee's present employment, NASW activities, professional affiliations, and awards received.

15.Platform Statement (250 words or fewer) should include the candidate's commitment to NASW, the social work profession, and qualifications for the position.