Name (required)

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Which committee would you like to chair? (required)
Comm/Press/PublicityEducationFreedom FundHealthPolitical ActionYouth AdvisorLegal RedressWIN

Why do you want to chair this committee? (required)

Please provide a summary of your skills, abilities and education (required)

How would you help to improve the Committee and the Branch? (required)

Will you be able to attend regular Membership & Executive Committee meetings? (required)
YesNo