Board Candidate Application

Select the Position You are Seeking*

Candidate Information

Name

First Last

Title

Association / Company Name*

Company Mailing Address*

Street Address Address Line 2 City State ZIP Code

Phone

Email

Years as KCSAE Member*

Year First Joined KCSAE*

Candidate Background

Years of Experience in Association Management*

Years in Present Position*

Years at Present Employer*

List any other Association Management Experience

List any Professional Designations Earned

Does Your Current Association/Employer support your KCSAE Involvement? Please Explain.*

Please list any awards received related to your career in Association Management and the years received.*

Please list any articles published or presentations made related to Association Management.*

Please describe your KCSAE involvement.*

Are you a member of ASAE, and if so, how long?*

Have you been a member of any other ASAE Allied Society (please list name and dates)*

Service to KCSAE

In what capacities have you served KCSAE? (Select all that apply)

Please list any other offices held, or service preformed in other professional organizations that you feel is applicable to being a KCSAE Board Member.

There is a monthly time commitment involved with being a Board Member. Do you have obligations that will interfere with your ability to be an involved KCSAE Board member?*

Why do you wish to become a KCSAE Board member?*

What goals do you have for the association and how will you implement them, if elected?*

Do you certify that you are a member in good standing with KCSAE and the information provided is accurate to the best of your knowledge?*

Please sign this application by typing your name.*

Application Date*