2017 - 2018 NCCPA Equity, Diversity & Inclusion Task Force Application
Hello and thank you for your interest in serving on the 2017 - 2018 NCCPA Equity Diversity Task Force

Members of the NCCPA Equity Diversity and Inclusion Subcommittee support the Member at Large for Equity and Inclusion in assessing, evaluating and implementing equity, diversity and inclusion practice and function in the North Carolina state chapter of ACPA. The two primary objectives of the Equity, Diversity and Inclusion subcommittee are to:

1. Establish and drive a robust array of services and resources that seek to increase competence and fluency around Equity, Diversity and Inclusion in higher education. This can include but is not limited to blogs, webinars, libraries, symposia and other applied opportunities

2. Increase the membership and engagement of diverse professionals through out NCCPA Leadership, Programming and Activities

Please complete the form below. All applications must be completed by March 31st at 5:00pm. If you have any questions, please contact Mr. Brandon Bell at bellb@uncw.edu or at 910.962.3303.

Prefix
Your answer
First Name
Your answer
Last Name
Your answer
Professional Title
Your answer
Institution
Your answer
Email Address
Your answer
Phone Number
Your answer
Professional Level
Gender
Gender Pronouns
Race & Ethnicity (Check All that Apply)
Are you Hispanic or Latino/a/x
Sexual Orientation: Do you consider yourself to be:
Are you a part of the Active Military or Have Veteran Status
Accessibility Needs & Services
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms