Application Instructions

Please use this form to apply to the NAELA Board of Directors for the 2026-28 term (both new and 2nd terms). Applicants should carefully read the below description of Board service before submitting their application.

To be considered for the NAELA Board of Director - application for service on the Board of Directors includes: (1) This completed form, (2) a copy of a recent curriculum vitae or resume (can be attached to this survey) and (3) at least one reference.

Applications are due before 5 pm ET on 9/26/25 and late applications cannot be considered. Please note that the Nominating Committee reserves the right to request additional information after reviewing your application.

For questions about Board service, please contact Kirsten Brown Simpson, Chief Operating Officer, at kbrownsimpson@naela.org.

Question Title

* 1. Name

Question Title

* 2. Credentials

Question Title

* 3. Title

Question Title

* 4. Law Firm/Organization

Question Title

* 5. In what state or U.S. territory do you reside?

Question Title

* 6. Address

Question Title

* 7. Phone

Question Title

* 8. Email

Question Title

* 9. What is your age?

Question Title

* 10. What is your race or ethnicity?

Question Title

* 11. What is your gender identity?

Question Title

* 12. Which legal community do you represent?

Question Title

* 13. How many years have you practiced elder law and/or special needs planning?

Question Title

* 14. Please share the month, year, and location of all your Bar admissions or licensures.

Question Title

* 15. Please provide which ABA-accredited law school you earned your law degree from and when you graduated.

Question Title

* 16. Do you have any elder law or special needs planning honors or certifications? Select all that apply.

Question Title

* 17. Are you a member of a state NAELA chapter? If so, which one(s)?

Question Title

* 18. Are you a member of a NAELA Section? If so, which one(s)?

Question Title

* 19. Are you a member of a NAELA Committee? If so, which one(s)?

Question Title

* 20. Have you served in a leadership role in a NAELA Chapter, Section, or Committee within the last five years? If so, please describe.

Question Title

* 21. Have you served on the Board of Directors for a nonprofit corporation before? Please list as appropriate.

Question Title

* 22. Why are you volunteering to serve on NAELA’s Board?

Question Title

* 23. What skills or areas of interest do you have or would bring to the NAELA Board? Please select all that apply

Question Title

* 24. Are you a member of other professional societies or associations in the field of elder law and/or special needs planning? If so, please all relevant memberships.

Question Title

* 25. Please provide the name and contact information of at least one reference the committee can contact.

Question Title

* 26. Optional additional reference(s)

Question Title

* 27. Have you ever been subjected to discipline or formally disciplined by a state bar association or other disciplinary authority?

Question Title

* 28. Have you ever been convicted of a violent crime or felony?

Question Title

* 29. If selected, are you willing and able to serve on the Board of Directors for the 2026-28 cycle?

Question Title

* 30. What personal strengths do you feel you bring to the Board?

Question Title

* 31. Thank you for your time in taking this survey. Is there anything else that you would like the Nominations Committee to know about you?"

Question Title

* 32. Please upload a copy of your resume/CV

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

T