Policy Committee Nomination Form Question Title * 1. Name Question Title * 2. Native CDFI Question Title * 3. NCN Region Alaska Region - members located in the state of Alaska Pacific Region – members located in the states of California and Hawaii Southwest Region - members located in the states of Arizona, Nevada, New Mexico and Utah Northwest Region - members located in the states of Idaho, Oregon and Washington Southern Plains Region - members located in the states of Kansas, Oklahoma and Texas Great Plains Region - members located in the states of Iowa, Nebraska, South Dakota and North Dakota Midwest Region - members located in the states of Minnesota and Wisconsin Eastern Region - members located in the states of Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Ohio, Pennsylvania, New Hampshire, New Jersey, New York, North Carolina, Rhode Island, South Carolina, Tennessee, Vermont, Virginia and West Virginia Rocky Mountain Region - members located in the states of Colorado, Montana and Wyoming Question Title * 4. Why are you interested in serving on the NCN Policy Committee? Question Title * 5. Please share a brief bio and qualifications for background. Question Title * 6. Are you able to commit to being an active participant in 8x meetings a year with NCN or other related events? Yes No Done
