2022 Chapter Board Election - Nomination Form

Accepting Nominations Now Through May 27

Our Chapter is seeking NASW Members from across the state with varied experience and expertise to help lead and represent our Chapter! BIPOC and those in Greater Minnesota are especially encouraged to apply, and previous board or leadership experience is not required. All nominees will be asked to complete a brief application, and those slated on the ballot will be voted upon by Chapter Election in June.

Please use this form to quickly nominate yourself or a colleague!

Questions? Please contact Karen Goodenough, Executive Director at kgoodenough.naswmn@socialworkers.org

Question Title

* 1. Candidate Information

Name

Phone

City of Residence

Licensure

Current Employer

Question Title

* 2. Why would this person make a great leader for NASW-MN?

Question Title

* 3. I am interested in the following positions (Select all that apply):

Unsure - Please contact me to discuss the options.

Vice President

At Large Representative – Membership Workgroup Chair

At Large Representative – Ethics Committee Chair

Northwest Region Representative (Bemidji area)

Central Region Representative (St. Cloud area)

Minneapolis/St. Paul Region Representative

Twin Cities North Region Representative (Blaine area)

Twin Cities West Region Representative (Minnetonka area)

Southwest Region Representative (Mankato area)

Southeast Region Representative (Rochester area)

BSW Student Representative

MSW Student Representative

Question Title

* 4. Nominator Information (*if nominating someone other than yourself)

Name

Phone