Exit

NCAL 2022 Committee Nominations

Please select up to two committees for which you would like to nominate yourself. Please review the committee descriptions prior to making your selection. Please rank the committees selected in order of preference. All 2022 Committee Appointments will be for a two-year term.

Question Title

* 1. Contact Information

First Name

Last Name

Title

Company

State

Question Title

* 2. Company Type (Select One)

Assisted living provider

State Affiliate staff member

Other (please specify)

Question Title

* 3. Ownership Types:
Please describe the type of community for which you work and/or own.

Definition of an Independent Owner: An individual or organization having financial interest and/or management control of 10 or fewer communities.

Definition of a National Multifacility: An individual or organization having financial interest and/or management control of 10 or more communities.

Independent Owner

National Multifacility

Question Title

* 4. For profit/Not for profit status

For profit

Not for profit

Question Title

* 5. Committee Selection

Please select up to two committees for which you would like to serve. Please rank the committees selected in order of preference. In an effort to create diverse and widespread representation, each committee may be limited to one participant per state and company.

	First Choice	Second Choice
Committee	Committee First Choice menu	Committee Second Choice menu

Question Title

* 1. Contact Information

Question Title

* 2. Company Type (Select One)

Question Title

Question Title

* 4. For profit/Not for profit status

Question Title

* 5. Committee SelectionPlease select up to two committees for which you would like to serve. Please rank the committees selected in order of preference. In an effort to create diverse and widespread representation, each committee may be limited to one participant per state and company.

* 5. Committee Selection

Please select up to two committees for which you would like to serve. Please rank the committees selected in order of preference. In an effort to create diverse and widespread representation, each committee may be limited to one participant per state and company.