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Mission
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Join our Email List
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Become an Exhibitor
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Current Sponsors
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Nomination Form
NTCSA Board Nomination Form
"
*
" indicates required fields
Name of Nominee
*
Nominated By
*
Nominee Address
*
Nominee Phone
*
Position Being Nominated for (Check Appropriate Box)
*
Vice President
Treasurer
Board Member
Nominee Current Employer
*
Nominee Child Support Experience
Private Contractor
Private Contractor
How many years
Tribal Child Support Agency
Tribal Child Support Agency
How many years
Family Court
Family Court
How many years
State or Federal Child Support
State or Federal Child Support
How many years
Other Child Support Experience
Other Child Support Experience
How many years
Briefly describe your other experience
Position titles held
Has Nominee attended the last annual conference and/or paid their dues to be considered an active member
*
Yes
No
Nominee NTCSA experience
Nominee NTCSA experience
Conference Workshop Speaker
Conference Workshop Moderator
Conference Vendor
Conference Attendee
NTCSA Board Member
NTCSA Officer Position
If any of the above NTCSA experience boxes are checked, use the space below for details, dates, and comments
*
Completed Nomination Forms will be accepted from April 16, 2024 through May 16, 2024.
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