Submitter Name *

Submitter e-mail *

This e-mail will be sent a confirmation message. 

Please mark the Network Chair-Elect you are nominating for: *

Enter required value Athletic/Aquatic (2-year Chair-Elect position/Becomes Network Chair at 2027 conf.) Admin/Leadership (2-year Chair-Elect position/Becomes Network Chair at 2027 conf.)

Name *

Agency *

Phone *

E-mail *

Agency Position Title *

How long have you been a member of GRPA? *

List any Nationally Recognized Certification(s) you hold: *

How long have you been employed in the recreation field? *

Have you served as a District/Network Officer? *

If so which District/Network and position(s) held (include year):

Have you served as a representative for your District/Network to any State Committees? *

Please list (include year):

Have you chaired a State Committee? *

Please list including year:

List any talents, abilities, or training you have that would benefit the network: *

Your candidacy will be evaluated based on the information in this application. *

By indicating below, you are attesting that this information is factual to the best of your knowledge.

Enter required value This information is factual and to the best of my knowledge.

Please make sure your supervisor/department director is aware of this application before submitting. *

Enter required value My director/supervisor is aware of my application.

Board Acknowledgement *

I am aware that if selected for the Network Chair-Elect position at the 2025 Annual Conference, becoming a Chair at the 2027 Annual Conference involves two years of Board of Trustees commitment. 

Enter required value I agree