NARPA encourages Board nominations, including self-nominations, of candidates who support the NARPA mission.

NARPA's mission is to support people with psychiatric diagnoses to exercise their legal and human rights, with the goals of abolishing forced treatment and ensuring autonomy, dignity and choice.

To qualify to be considered for Board membership, the applicant must:

                               -have attended at least one NARPA conference
                               -commit to participating on monthly Board calls
                               -commit to advancing the NARPA mission

If you are interested in being considered for a position on the NARPA Board, please complete the following application.  The information on this form will be kept confidential.  Membership will not be restricted in any way because of race, national origin, sexual orientation, disability, age, religion, residence, diagnosis/label, military status or gender identity.

Thank you for your interest in serving on or nominating someone to run for election to the NARPA Board.


Name of Nominator (if you are nominating yourself, skip this section):

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* 1. Name of Nominator (if you are nominating yourself, skip this section):

Nominator's Address (include street, city, state and zipcode)

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* 2. Nominator's Address (include street, city, state and zipcode)

Nominator's Email

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* 3. Nominator's Email

Nominator's Phone Number

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* 4. Nominator's Phone Number

Name of Nominee

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* 5. Name of Nominee

Nominee's Address (include street, city, state and zip code)

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* 6. Nominee's Address (include street, city, state and zip code)

Nominee's Email

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* 7. Nominee's Email

Nominee's Phone Number

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* 8. Nominee's Phone Number

Nominee's Employer (if applicable)

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* 9. Nominee's Employer (if applicable)

Position

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* 10. Position

Are you (the nominee) a member of or associated with any other advocacy organization?

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* 11. Are you (the nominee) a member of or associated with any other advocacy organization?

What talents or skills do you (the nominee) have that you believe would benefit NARPA?

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* 12. What talents or skills do you (the nominee) have that you believe would benefit NARPA?

Interests: Please indicate which areas you may be interested in volunteering for:

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* 13. Interests: Please indicate which areas you may be interested in volunteering for:

Please provide at least one reference.

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* 14. Please provide at least one reference.

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