NACo Presidential Appointments Application Form
2018 - 2019

 Contact Information

* Name:
Title:
* County:
Address:
City:     * State:     Zip:
Phone:
E-mail:
(You must enter a valid email address)


  Policy Steering Committee Leadership Positions Only

1) Policy Steering Committee Applying For:
  Position on Policy Steering Committee

 Policy Steering Committees
Chair
Vice Chair
Sub-committee
Chair
Sub-committee
Vice Chair
 Agriculture & Rural Affairs
 Community, Economic & Workforce Development
 Environment, Energy & Land Use
 Finance, Pensions & Intergovernmental Affairs
 Health
 Human Services & Education
 Justice & Public Safety
 Public Lands
 Telecommunications and Technology
 Transportation
    If applicable, subcommittee name:

 

2)Caucus applying for:
  Caucus Position
 Caucus Chair Vice Chair Member
 Large Urban County Caucus
 Rural Action Caucus

  At-Large Appointments to NACo Board


3) The President of NACo has the opportunity to appoint 10 at-large directors to the Board of Directors to address inequities in representation including gender, ethnicity, rural and urban. If you are applying for one of these director seats, please indicate below.
Board Seat
  At-Large Director
 
4) If you are submitting your application for an at-large appointment, which of the inequities will your membership address?
Gender
Ethnicity
Urban
Rural

5)Standing Committees
NACo has four standing committees authorized in its by-laws. The President has the opportunity to appoint several members to each of these committees. If you are interested in being considered for a seat on one of the standing committees, please indicate below.
  Position on Standing Committee
Standing Committees Chair Vice Chair Committee
Member
 Finance Committee N/A   N/A  
 Programs and Services
 Membership
 Information Technology
    - GIS Subcommittee
 
6) Ad Hoc Committees
The NACo President makes appointments to Ad Hoc committees. These appointments are made in the best interest of the issue areas served by the committees. Some of these committees/boards have eligibility requirements. If you are interested in an appointment to one of the following committees, please indicate below.
  Position on Ad Hoc Committee
 Ad Hoc Committees Chair Vice Chair Committee
Member
 Arts and Culture Commission
 Resilient Counties Advisory Board
 Healthy Counties Initiative Advisory Board
 Immigration Reform Task Force
 International Economic Development Task Force
 Veterans and Military Services Committee
 
  6a) Ad Hoc Committees with Eligibility Requirements 
 
Defined Contribution and Retirement Advisory Committee
Criteria: All committee members must also be participants in the NACo Deferred Compensation Program on Defined Contribution. The appointments are: Chair, Vice Chair, 1 appointed county official, 1 state association executive director and 2 elected county officials.
Chair Vice Chair Committee
Member
 Defined Contribution and Retirement Advisory Committee
 
NACo Financial Services Center Advisory Committee
All positions are open for 2018-2019.
Chair Vice Chair Committee
Member
 NACo Financial Services Center Advisory Committee


  Personal Qualifications Statement

  History


Are you involved in your state association? In the space below, provide a brief description of your activities and any positions you may have held in your state association.

What committees/activities have you participated in and what positions have you held at NACo?
These include standing committee member, board member, special task force member, special appointments, caucus member, etc. In the space below, provide a brief description of these activities.

Using the space below, provide information about yourself and what you feel you will bring to NACo if you receive a presidential appointment.

  Requirements of an Appointee


1.   If you receive a presidential appointment will you be able to:
      a. Attend all meetings. Yes   No
      b. Finance all of your expenses for serving as an appointee. Yes   No

2.   Is the board in your county supportive of this appointment application? Yes   No
      Explain:
     
 
3.   Is your state association supportive of this appointment application?
Yes   No
      Explain:
     

Verify the above information is correct.


National Association of Counties
www.naco.org