On-Line Board Position Application
Name

Address
Date
City
Zip Code
Phone
Email
1.  Have you served on the DCFCCA Executive Board within the past five years?
Yes
No
If yes, which position did you hold and what term?
2.  Board position you are volunteering for?
Choose only one position.
3.  Why would you like to serve on the DCFCCA Executive Board?
4.  What expertise can you bring to this board position?
5.  Have you maintained your DCFCCA membership for the past 12 consecutive months?
Yes
No
Thank you for completing the on-line Board Position Application!  This application
will automatically be e-mailed to the Election Committee today by clicking on the
submit button.

To be eligible for nomination and elected office, a member must have been a legally licensed provider, as well as a member of this
positions are two year terms, beginning June 1, 2015 and ending May 31, 2017, except for the Public Relations Coordinator, which
is a one-year term, beginning June 1, 2015, and ending May 31, 2016.   Application deadline is April 17, 2015.