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2022 NCA Elections

Please complete all fields.

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* 1. First and Last Name

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* 2. City/Town

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* 3. State/Province

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* 4. Email Address

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* 5. Phone Number

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* 6. Name of CERT Program with which you are affiliated

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* 7. Name of Government Agency with which you are an employee, if applicable

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* 8. Please indicate your CERT roles (choose all that apply)

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* 9. Position for which you are self-nominating

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* 10. What year did you first become involved with CERT?

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* 11. Which CERT-related courses have you taken? (select all that apply)

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* 12. Briefly describe your CERT experience.

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* 13. Briefly describe a CERT project that you led or were a major part of and how it benefited your CERT program/community.

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* 14. Briefly describe how your skills, experience, and current CERT-related activities would be beneficial to the NCA and the NCA Leadership Team.

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* 16. What are some projects that you think the NCA should be working on/emphasizing to better support CERT programs, and how can you help lead this project?

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* 17. As an NCA Representative, you are representing CERT programs in your region. Briefly describe your relationship with CERT programs in your region, including your communication channel and how you could represent them accurately.

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* 18. NCA Leadershi candidates are requried to have a ecommendation from their next-in-line in the CERT hierarchy. CERT Volunteers need a recommendation from their CERT Program Manager. CERT Program Managers need a letter of recommendation from the CERT Sponsoring Organization. CERT Program Managere that are also the Sponsoring Organization Point of Contact need a letter of recommendation from their supervisor and/or FEMA Region. Please send these letter to wmathews@utah.gov

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