2021 ACSSW New Board Member Application
Thank you for your interest in joining the ACSSW Board of Directors. The Board will review applications and select up to 6 applicants for 20–30 minute interviews on July 22 from 1:00– 4:00 Central Time via Zoom. Selected applicants will be scheduled only at this time. Please contact ACSSW Board Member, Stacy Gherardi at sgherard@nmsu.edu, if you have any questions.
Email *
Clear selection
Personal Demographics
Please provide your contact information via each question below.
Full Name (First and Last) *
Email Address *
Re-Enter Email Address *
Cell Phone Number *
Home Address (Number and Street) *
Home Address (City or Town) *
Home Address (State) *
Home Address (Zip Code) *
Professional Background & Experience
Please provide details regarding your professional experience via each question below.
Current Position *
Professional Title *
Credentials & Licensing *
Place of Employment *
Employer City *
Employer State *
Please provide the full name and email address of one professional reference. *
Please provide a brief personal bio. *
Briefly describe your professional experience in relation to the practice of school social work. *
Why do you wish to be considered for an ACSSW Board Member position? *
Briefly describe your past and/or current experience serving on a Board of Directors. *
Of the following - which are your strengths, talents and interests? Check all that apply. *
How will you apply your skills to support & enhance the work of the Board and the profession of SSW? *
What are you doing now that could strengthen the work of the ACSSW Board and the SSW profession? *
Does your schedule permit you to fully participate in ACSSW's 2 hour monthly Board teleconferences? *
Are you able to commit up to 10 hrs/month working on ACSSW Board activities including meetings? *
Does your schedule permit you to travel to attend in-person Board meetings? *
Are you able to commit to being a Board member for two full years? *
ACSSW is a working Board with several committees and Thematic Groups. In which two would you be most interested? *
ACSSW has tasks that need commitment and dedication. To which can you bring your talents? *
Does your employer support your membership and participation as an ACSSW Board Member? *
Do you presently serve on any professional Boards or committees? *
If you presently serve on any professional Boards or committees, please indicate which ones.
I have read and understand the info packet and attest that I am able to complete the requirements. *
Is there anything else you would like to share with the Board Member Search Committee?
What questions, if any, do you have about serving as a member of the ACSSW Board of Directors?
Please email your resume/CV to Board Member Stacy Gherardi at sgherard@nmsu.edu as soon as you submit this form. Your application will not be complete without this additional step.
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