Committee Interest Survey for 2022

Complete this brief interest form by December 6 to indicate your interest in serving on a PRLA committee. Please note that each committee's number of openings are limited so indicating interest does not guarantee placement.

Visit www.prla.org/committees to learn more about each committee.

Question Title

* 1. Contact Information

Full Name:

Company:

Email Address:

Phone Number:

Question Title

* 2. Select the committee(s) you are interested in serving on below.

	First Choice	Second Choice	Third Choice
Committee	Committee First Choice menu	Committee Second Choice menu	Committee Third Choice menu