Contact Information (Person Completing the Form)

First Name *

Last Name *

Email *

JAG CA/NCA Affiliate Nomination Form

Please complete this form for the 2024 JAG NCDC to confirm your Affiliate's National Officer Candidates and Voting Delegates, and to nominate individuals to serve for the NCA Officer Nominating Committee (interview committee).

Deadline to Complete: March 15, 2024

State Affiliate Program Name *

State *

Affiliate Contact First Name *

Affiliate Contact Last Name *

Affiliate Contact Email Address *

JAG CA/NCA National Officer Candidates

Each affiliate is allowed to submit two candidates to run for a JAG CA/NCA National Officer Candidate position.

JAG CA/NCA National Officer Candidate #1

First Name

Last Name

Email Address

JAG CA/NCA National Officer Candidate #2

First Name

Last Name

Email Address

Nominating Committee Members

Affiliaite's without candidates running for National Office should submit names to serve on the Nominating Committee.

Note: If you are submitting a candidate to run for a JAG CA/NCA National Officer Candidate position, you do not need to submit a referral for the nominating committee.

This recommendation will need to arrive to the Mariott Grand in St. Louis by 3 pm, Wednesday, April 17.

Nominating Committee Member #1

First Name

Last Name

Email Address

This nominee is a:

Nominating Committee Member #2

First Name

Last Name

Email Address

This nominee is a:

Voting Delegate Candidates

Each Affiliate may submit up to two names to serve as Voting Delegates at NCDC.

This role attends an orientation, participates in the NCA Business meeting, approves the next National Service Project theme, and elects next year's National Career Association Officers!

Voting Delegate #1

First Name

Last Name

Email Address

Voting Delegate #2

First Name

Last Name

Email Address