NSIPA Volunteer Form | National Society of Insurance Premium Auditors

NSIPA Volunteer Form

Contact Information

Full Name *

Preferred Phone Number *

Email Address *

Volunteer Interest

Let Us Know Your Interest Areas.
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I Would Like to be considered for the following Board Position.

President

President-Elect

Vice President of Finance

Vice President of Governance

Clear Selection

I would like to be considered for the following committees:

Chapter Committee

Education Committee

Membership Committee

Sponsorship Committee

Webinar Committee

Clear Selection

ABOUT YOU

Tell Us About Your Professional Background.
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Why Are You Interested in Volunteering?
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Please Upload a Headshot.

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